# GIVING GRACE HEALTH SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699544650
- **Authorized official:** NICOLE WILSON FNP-BC, PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (410) 961-0897

## Contact information

- **Practice address:** 77 E MAIN ST, WESTMINSTER, MD 21157-5037
- **Practice address phone:** (410) 961-0897
- **Mailing address:** 77 E MAIN ST STE 404, WESTMINSTER, MD 21157-6862
- **Mailing address phone:** (410) 961-0897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/01/2024
- **Last updated:** 11/04/2024