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STATE OF GRACE
NPI 1457950958
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pueblo, CO

Active since October 26, 2020
720 N MAIN ST STE 330, PUEBLO, CO 81003(719) 569-7909 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2021, Oct 26, 2020 (2 updates tracked since 2020).

About State Of Grace NPPES

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

STATE OF GRACE (NPI 1457950958) is a healthcare organization registered as a mental health (including community mental health center) in Pueblo, Colorado and active in the NPI registry since October 2020. The organization lists Robert R Maes, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1457950958
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTATE OF GRACE
Location Address720 N MAIN ST STE 330Pueblo, CO 81003-3047
Mailing Address720 N Main St Ste 330Pueblo, CO 81003-3047 · (719) 569-7909
Phone(719) 569-7909
Organization SubpartNo
Authorized OfficialRobert R MaesClinical Director · (719) 569-7909
Enumeration DateOctober 26, 2020
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1457950958 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
720 N MAIN ST STE 330, Pueblo, CO 81003
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Other Providers at the Same Location NPPES 12

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

STATE OF GRACE
Community/Behavioral Health
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
COURTNEY BANKO PALMER
Counselor (Addiction (Substance Use Disorder))
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
LAUREN DAVIS MA, LPCC
Counselor (Mental Health)
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 596-7909
JOSIAH MONTOYA BA, PEER SPECIALIST
Peer Specialist
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
ERICA DENISE VALLEJOS
Peer Specialist
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
ROSLYN MARIAH ESPINOZA LPCC
Counselor (Professional)
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
SONYA MAES
Peer Specialist
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909
SABRINA VASQUEZ B.S.
Peer Specialist
720 N MAIN ST STE 330
PUEBLO, CO 81003
Pueblo County (719) 569-7909

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 State Of Grace's NPI number?

The NPI number for State Of Grace is 1457950958. It was assigned to this organization in the NPPES registry on October 26, 2020.

Where is State Of Grace located?

State Of Grace is located at 720 N Main St Ste 330, Pueblo, CO 81003. The listed phone number is (719) 569-7909.

What is State Of 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.

When was this NPI record last updated?

The NPPES record for State Of Grace was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.