Provider Demographics
NPI:1326816943
Name:COUNSEL BY GRACE, PLLC
Entity Type:Organization
Organization Name:COUNSEL BY GRACE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:ELYSIA
Authorized Official - Last Name:RUETZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:720-459-1200
Mailing Address - Street 1:10200 W 44TH AVE STE 402B
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6826
Mailing Address - Country:US
Mailing Address - Phone:720-459-1200
Mailing Address - Fax:720-783-2816
Practice Address - Street 1:10200 W 44TH AVE STE 402B
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6826
Practice Address - Country:US
Practice Address - Phone:720-459-1200
Practice Address - Fax:720-783-2816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health