Provider Demographics
NPI:1134885478
Name:GRACE IN BALANCE PLLC
Entity type:Organization
Organization Name:GRACE IN BALANCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIDAD
Authorized Official - Middle Name:X
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-696-6787
Mailing Address - Street 1:12213 PECOS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3414
Mailing Address - Country:US
Mailing Address - Phone:720-696-6787
Mailing Address - Fax:720-836-4204
Practice Address - Street 1:12213 PECOS ST STE 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3414
Practice Address - Country:US
Practice Address - Phone:720-696-6787
Practice Address - Fax:720-836-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty