# AMAZING GRACE PSYCHIATRIC SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023849312
- **Authorized official:** MARY KWIECINSKI APRN (OWNER)
- **Authorized official phone:** (540) 228-0198

## Contact information

- **Practice address:** 25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
- **Practice address phone:** (540) 228-0198
- **Practice address fax:** (276) 241-0647
- **Mailing address:** 25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
- **Mailing address phone:** (540) 228-0198
- **Mailing address fax:** (276) 241-0647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 08/09/2024