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Organization

HEALING GRACE THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GIOVANNA MUSITANO LCSW (OWNER)
(575) 680-1376
Entity
Organization

Contact information

Practice address
2801 MISSOURI AVE STE 8, LAS CRUCES, NM 88011-5061
(575) 680-1376
Mailing address
PO BOX 13, DONA ANA, NM 88032-0013

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/19/2021
Last updated
02/19/2021
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