Organization
GRACE PSYCHOLOGICAL SERVICES, LLC
Active
Organization
GRACE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK BACH PSY.D. (OWNER / PSYCHOLOGIST)
(502) 203-0838
Entity
Organization
Contact information
Practice address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838
Mailing address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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