GRACE & GROWTH PSYCHOLOGY SERVICES PLLC NPI 1871158733

NPI Information

NPI: 1871158733
Provider Name: GRACE & GROWTH PSYCHOLOGY SERVICES, PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4719 SHELBURNE ST STE 11
BISMARCK, ND
ZIP 58503
Phone: (701) 415-8271
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GRACE & GROWTH PSYCHOLOGY SERVICES, PLLC is a mental health (including community mental health center) clinic center in Bismarck, ND. GRACE & GROWTH PSYCHOLOGY SERVICES, PLLC NPI is 1871158733. The provider is registered as an organization entity type.

The provider's business location address is:

4719 SHELBURNE ST STE 11
BISMARCK, ND
ZIP 58503-677
Phone: (701) 415-8271

The provider's authorized official is Todd M Wahl .
The authorized official title is Psychologist/owner and has the following contact phone number (701) 415-8271.

The enumeration date for this NPI number is 5/7/2019 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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