# GRACE MENTAL HEALTH SERVICES PLLC

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

## Provider details

- **NPI number:** 1790458479
- **Authorized official:** MARY M NDUMBE PHMNP (SOLE OWNER/ADMIN)
- **Authorized official phone:** (800) 789-3543

## Contact information

- **Practice address:** 2350 W HIGHWAY 89A \# 1023, SEDONA, AZ 86336-5344
- **Practice address phone:** (800) 789-3543
- **Practice address fax:** (928) 496-2133
- **Mailing address:** 15784 W DESERT MIRAGE DR, SURPRISE, AZ 85379-4639
- **Mailing address phone:** (800) 789-3543
- **Mailing address fax:** (928) 496-2133

## 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:** 07/28/2021
- **Last updated:** 08/18/2021