A WILLOWS GRACE - NPI 1366114852 - Clinic/Center in Mesa, AZ

Q: What is A Willows Grace's NPI number?

The NPI number for A Willows Grace is 1366114852. It was assigned to this organization in the NPPES registry on October 2, 2021.

Q: What is A Willows Grace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for A Willows Grace was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About A Willows Grace NPPES

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

A WILLOWS GRACE (NPI 1366114852) is a healthcare organization registered as a mental health (including community mental health center) in Mesa, Arizona and active in the NPI registry since October 2021. The organization lists Crystal Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1366114852

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameA WILLOWS GRACE

Location Address1220 S ALMA SCHOOL RD STE 103Mesa, AZ 85210-2078

Mailing AddressPo Box 40382Mesa, AZ 85274-0382

Phone(602) 291-7364

Organization SubpartNo

Authorized OfficialCrystal BennettOwner · (602) 291-7364

Enumeration DateOctober 2, 2021

Last NPPES UpdateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1366114852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1220 S ALMA SCHOOL RD STE 103, Mesa, AZ 85210

Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL BENNETT LPC

Counselor (Professional)