Organization
GRACE THERAPY AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MARTIN LMFT (FOUNDER)
(786) 239-5280
Entity
Organization
Contact information
Practice address
105 N OAK PARK AVE STE 4C, OAK PARK, IL 60301-1364
(773) 423-8447
Mailing address
105 N OAK PARK AVE # 2B, OAK PARK, IL 60301-1364
(773) 423-8447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
12/06/2023
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