Organization
AMAZING GRACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE NWINEMU NDIFOR-MCNEIL BA (PROGRAM DIRECTOR)
(804) 687-2097
Entity
Organization
Contact information
Practice address
6001 LAKESIDE AVE STE 30, RICHMOND, VA 23228-5749
(804) 269-3837
Mailing address
6361 SPRINGCREST LN, RICHMOND, VA 23231-5326
(804) 269-3878
(804) 269-3885
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1896-03-001
VA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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