Organization
GUIDING GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E KOPPEL (PRESIDENT & CEO)
(859) 325-5545
Entity
Organization
Contact information
Practice address
51 E SHELBY STREET, JUNCTION CITY, KY 40440
(859) 325-5545
Mailing address
131 ALLYSON CIR, JUNCTION CITY, KY 40440-9041
(859) 325-5545
(859) 605-2038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100541220
—
KY
01
—
800289
BHSO LICENSURE
KY
01
—
810644
AODE LICENSURE
KY
Enumeration date
07/03/2018
Last updated
03/05/2020
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