# FAITH AND GRACE PSYCHOTHEREAPY

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

## Provider details

- **NPI number:** 1366213027
- **Authorized official:** GABRIEL NIGRIEL (OWNER/APN)
- **Authorized official phone:** (862) 266-8267

## Contact information

- **Practice address:** 87 MAIN ST, GLADSTONE, NJ 07934
- **Practice address phone:** (862) 266-8267
- **Mailing address:** 260 S CLINTON ST, EAST ORANGE, NJ 07018-2509
- **Mailing address phone:** (862) 266-8267

## 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:** 01/11/2024
- **Last updated:** 01/16/2024
