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Grace Antoinette Irving
Mental Health Counselor in Port St Lucie, Florida
NPI 1326507427

Grace Antoinette Irving is a Mental Health Counselor based in Stuart, FL and is specialized in Mental Health. Grace Antoinette Irving practices in Port St Lucie, FL. The NPI Number for Grace Antoinette Irving is 1326507427 and holds a License No. (Florida).

The current practice location address for Grace Antoinette Irving is 525 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL and can be reached out via phone at 772-337-8164.

Location: 525 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL, 34997-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326507427
Provider Name
Grace Antoinette Irving
Credential
Provider Entity Type
Individual
Gender
Female
Address
525 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL, 34997-6425
Phone Number
772-337-8164
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
525 Nw Lake Whitney Pl Ste 102
City
Port St Lucie
State
Florida
Zip
34986-1605
Phone Number
772-337-8164
Fax Number
person
Provider Business Mailing Address Details
Address
525 Nw Lake Whitney Pl Ste 102
City
Port St Lucie
State
Florida
Zip
34986-1605
Phone Number
772-337-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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