Provider Demographics
NPI:1275139917
Name:GRACE CENTER MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:GRACE CENTER MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONE'T
Authorized Official - Middle Name:S
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-566-5537
Mailing Address - Street 1:409 HORIZON LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4117
Mailing Address - Country:US
Mailing Address - Phone:302-932-8098
Mailing Address - Fax:
Practice Address - Street 1:229 N MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1997
Practice Address - Country:US
Practice Address - Phone:302-566-5537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty