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Organization
RISING GRACE THERAPY PLLC
Active
Organization
RISING GRACE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO LOPEZ LCSW. (OWNER)
(407) 284-0910
Entity
Organization
Contact information
Practice address
555 E 10TH AVE APT 9, DENVER, CO 80203-3265
(720) 239-2834
Mailing address
1312 17TH ST UNIT 2007, DENVER, CO 80202-1508
(720) 239-2834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
04/01/2024
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