Organization
GRACE N MERCY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL ROANN ROBERTSON (OWNER/ PEER SUPPORT)
(270) 300-6819
Entity
Organization
Contact information
Practice address
4206 SOUTHERN PKWY # 1A, LOUISVILLE, KY 40214-1650
(502) 365-2216
(502) 749-0055
Mailing address
4206 SOUTHERN PKWY # 1A, LOUISVILLE, KY 40214-1650
(502) 365-2216
(502) 749-0055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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