GRACE GARDENS, LLC (NPI# 1689972879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689972879 |
| Entity Type | Organization |
| Organization Name | GRACE GARDENS, LLC |
| Practice Address |
412 N Franklin St Ste 205 Cuba MO 65453-1719 |
| Mailing Address |
130 Redwood Ln Bourbon MO 65441-7118 |
| Practice Telephone | 3146503281 |
| Practice Fax Number | 5738851600 |
| Mailing Telephone | 3146503281 |
| Mailing Fax Number | 5738851600 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | ANITA F MCCORMACK (ORGANIZER) |
| Authorized Official Telephone | 3146503281 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2005031753 | MO | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
2005031753 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | INDIVIDUAL NPI | 1891830477 | 01 |
| Street Address |
412 N FRANKLIN ST STE 205 |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427351402 | Journey Through Life Counseling Services, LLC | Counselor | 412 N Franklin St, Cuba, MO 65453-1719 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354781 | Community Treatment Inc | Clinic/Center | 106 N Mill St, Festus, MO 63028-1816 | 2020-10-19 |
| 1962025072 | Empowering Transformations, LLC | Clinic/Center | 5842 Walsh St, Saint Louis, MO 63109-3120 | 2020-05-22 |
| 1548895790 | Ozark Trails Youth Services | Clinic/Center | 40840 Cr Rd 181-280, Willow Springs, MO 65793-6579 | 2020-03-09 |
| 1366076721 | Midwest Psychological Services, LLC | Clinic/Center | 220 W Argonne Dr Ste B, Kirkwood, MO 63122-4237 | 2020-02-25 |
| 1851860209 | Preferred Family Healthcare, Inc | Clinic/Center | 3300 S National Ave Ste 500, Springfield, MO 65807-7343 | 2018-11-15 |
| 1548759251 | Stacey Juengst Counseling Services | Clinic/Center | 1000 Edgewater Point Drive, Suite 401, Lake Saint Louis, MO 63367-2954 | 2018-05-08 |
| 1982129722 | Solid Ground Counseling Services, LLC | Clinic/Center | 2515 W Allen Dr, Springfield, MO 65810-1300 | 2017-08-12 |
| 1740714823 | Storge LLC | Clinic/Center | 7114 Vernon Ave, University City, MO 63130-2301 | 2017-04-17 |
| 1437527314 | Emotional Health Therapy | Clinic/Center | 7730 Carondelet Ave, Suite 307, Saint Louis, MO 63105-3314 | 2015-09-09 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.