Organization
AMAZING GRACE PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KWIECINSKI APRN (OWNER)
(540) 228-0198
Entity
Organization
Contact information
Practice address
25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
(540) 228-0198
(276) 241-0647
Mailing address
25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
(540) 228-0198
(276) 241-0647
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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