Organization
SOUL GRACE COACHING CO,
Active
Other names
SOULGRACE COACHING CO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE GRACY JR. (CEO)
(586) 339-2178
Entity
Organization
Contact information
Practice address
4000 TOWN CTR STE 1350, SOUTHFIELD, MI 48075-1427
(586) 339-2178
Mailing address
27378 PARKVIEW BLVD APT 4314, WARREN, MI 48092-3501
(586) 339-2178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
310400000X
Assisted Living Facility
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/01/2024
Last updated
02/24/2025
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