GRACE CLINICAL COUNSELING CENTRE, INC
NPI 1174281463
Clinic/Center - Adult Mental Health in Phoenix, AZ

Q: What is Grace Clinical Counseling Centre, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since December 03, 2021

5062 N 19TH AVE STE 100, PHOENIX, AZ 85015(602) 855-0002 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Clinical Counseling Centre, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE CLINICAL COUNSELING CENTRE, INC (NPI 1174281463) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since December 2021. The organization lists Wildine Burgess, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1174281463

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameGRACE CLINICAL COUNSELING CENTRE, INC

Location Address5062 N 19TH AVE STE 100Phoenix, AZ 85015-3225

Mailing Address5062 N 19th Ave Ste 100Phoenix, AZ 85015-3225 · (602) 855-0002

Phone(602) 855-0002

Organization SubpartNo

Authorized OfficialWildine BurgessExecutive Administrator · (240) 350-2863

Enumeration DateDecember 3, 2021

NPPES CertifiedDecember 3, 2021

✔ NPI 1174281463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

5062 N 19TH AVE STE 100, Phoenix, AZ 85015

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Clinical Counseling Centre, Inc's NPI number?

The NPI number for Grace Clinical Counseling Centre, Inc is 1174281463. It was assigned to this organization in the NPPES registry on December 3, 2021.

Where is Grace Clinical Counseling Centre, Inc located?

Grace Clinical Counseling Centre, Inc is located at 5062 N 19th Ave Ste 100, Phoenix, AZ 85015. The listed phone number is (602) 855-0002.

What is Grace Clinical Counseling Centre, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Grace Clinical Counseling Centre, Inc was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.