GRACE TINUNGKI DU BOIS
NPI 1619547577
Counselor - School in Cleveland, TN
Active since July 01, 2021
About Grace Tinungki Du Bois NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE TINUNGKI DU BOIS (NPI 1619547577) is an individual school provider in Cleveland, Tennessee, licensed in Tennessee (725614) and active in the NPI registry since July 2021.
NPPES Registry Identity
NPI1619547577
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameGRACE TINUNGKI DU BOIS
Location Address4160 OCOEE ST N STE 8Cleveland, TN 37312-4886
Mailing Address4160 Ocoee St N Ste 8Cleveland, TN 37312-4886 · (888) 281-4257
Phone(888) 281-4257
Sole ProprietorNo
Enumeration DateJuly 1, 2021
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1619547577 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in TN · 725614
4160 OCOEE ST N STE 8, Cleveland, TN 37312
Other Names 1
Former Name (1)Grace Tinungki
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Student in an Organized Health Care Education/Training Program
4160 OCOEE ST N STE 8
CLEVELAND, TN 37312
CLEVELAND, TN 37312
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619547577, enumerated as an "individual" on July 01, 2021.
The provider is located at 4160 OCOEE ST N STE 8 CLEVELAND, TN 37312 and the phone number is (888) 281-4257.
Counselor with taxonomy code 101YS0200X and a focus in School.
