Grace Space Counseling LLC
Counselor, Mental Health in Clark, New Jersey
1851119929- Practice location
- 100 Walnut Ave Ste 210, Clark, NJ 07066-1269
- Phone
- 732-454-7810
- Fax
- 732-454-7811
- Last updated
- January 27, 2025
Grace Space Counseling LLC is a healthcare organization based in Clark, NJ. Grace Space Counseling LLC practices in Clark, NJ. The NPI Number for Grace Space Counseling LLC is 1851119929. The current practice location address for Grace Space Counseling LLC is 100 Walnut Ave Ste 210, Clark, NJ 07066-1269 and can be reached out via phone at 732-454-7810 and via fax at 732-454-7811.
Provider Profile Details
- NPI Number
- 1851119929
- Provider Name
- Grace Space Counseling LLC
- Provider Entity Type
- Organization
- Address
- 100 Walnut Ave Ste 210, Clark, NJ 07066-1269
- Phone Number
- 732-454-7810
- Fax Number
- 732-454-7811
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Mrs. Lizandra Portalatin, LPC · Owner · 732-454-7810
- Provider Enumeration Date
- September 28, 2024
- Last Update Date
- January 27, 2025
- Certification Date
- January 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Walnut Ave Ste 210
Clark, NJ 07066-1269 - City
- Clark
- State
- New Jersey
- Zip
- 07066-1269
- Phone Number
- 732-454-7810
- Fax Number
- 732-454-7811
Provider Business Mailing Address Details
- Address
- 100 Walnut Ave Ste 210
Clark, NJ 07066-1269 - City
- Clark
- State
- NJ
- Zip
- 07066-1269
- Phone Number
- 732-454-7810
- Fax Number
- 732-454-7811
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Clark, NJ
View all Counselor, Mental Health providers in Clark →- Amanda Schindler, LACCounselor, Mental Health · NPI 1710731344
- Dr. Frank D Papandrea, PHD, MDDIV, LPCCounselor, Mental Health · NPI 1881870517
- Erika BaqueCounselor, Mental Health · NPI 1083580427
- Eurica PinthieveCounselor, Mental Health · NPI 1407453673
- Garden State Psychological Associates, LLCCounselor, Mental Health · NPI 1942701198
- Ian M Michelin, LMSWCounselor, Mental Health · NPI 1407665458
Frequently Asked Questions
What is the NPI number of Grace Space Counseling LLC?
The NPI number of Grace Space Counseling LLC is 1851119929. It was assigned on September 28, 2024 and is currently active in the NPPES registry.
What is the specialty of Grace Space Counseling LLC?
Grace Space Counseling LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Grace Space Counseling LLC practice?
The practice location is 100 Walnut Ave Ste 210, Clark, NJ 07066-1269. The office can be reached at 732-454-7810 (phone) or 732-454-7811 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851119929 directly on the NPPES registry website.