Provider Demographics
NPI:1659712446
Name:PACE, MOLLY (LMHC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:PACE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-2825
Mailing Address - Country:US
Mailing Address - Phone:612-227-3640
Mailing Address - Fax:
Practice Address - Street 1:3810 6TH AVE
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-2825
Practice Address - Country:US
Practice Address - Phone:612-227-3640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health