Organization
A PLACE FOR GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE LYNE BROTHERTON LIMHP, LMHC (THERAPIST/OWNER)
(515) 620-3284
Entity
Organization
Contact information
Practice address
11 S 1ST ST, COUNCIL BLUFFS, IA 51503-4315
(515) 620-3284
Mailing address
37053 HUTCHINGS AVE, HASTINGS, IA 51540-4067
(712) 621-7300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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