NPI
Grace Clinical Counseling Centre, Inc
Phone (602) 855-0002 · NPI 1174281463
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-12-03
- Last updated
- 2021-12-03
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Specialties
- 261QM0850XClinic/Center, Adult Mental Health · Primary
- 101YM0800XCounselor, Mental Health
- 171M00000XCase Manager/Care Coordinator
- 2084A0401XPsychiatry & Neurology, Addiction Medicine
- 261QP2300XClinic/Center, Primary Care
- 363LP0808XNurse Practitioner, Psych/Mental Health
- 363LP2300XNurse Practitioner, Primary Care
Licenses
The registry row did not include a license.
Location
- Practice location
- 5062 N 19th Ave Ste 100
- City
- Phoenix AZ
- Postal code
- 85015-3225
- Phone
- (602) 855-0002
Organization contact
- Name
- Wildine Burgess
- Title
- Executive Administrator
- Phone
- (240) 350-2863
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinic/Center, Adult Mental Health providers in Phoenix, AZ. 119 with this primary taxonomy in the public file.
Other NPIs in Phoenix, AZ. 44,026 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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