Organization
GRACE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO ALVES PSYD (OWNER)
(727) 314-5001
Entity
Organization
Contact information
Practice address
10707 66TH ST N STE 9, PINELLAS PARK, FL 33782-2336
(727) 314-5001
Mailing address
10707 66TH ST N STE 9, PINELLAS PARK, FL 33782-2336
(727) 314-5001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2QI3T
FLORIDA BLUE
—
Enumeration date
12/16/2022
Last updated
02/27/2026
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