GRACE SPACE COUNSELING LLC
NPI 1851119929
Counselor - Mental Health in Clark, NJ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 28, 2024

100 WALNUT AVE STE 210, CLARK, NJ 07066(732) 454-7810(732) 454-7811 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Grace Space Counseling Llc NPPES

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

GRACE SPACE COUNSELING LLC (NPI 1851119929) is a healthcare organization registered as a mental health in Clark, New Jersey and active in the NPI registry since September 2024. The organization lists Lizandra Portalatin, Owner, as its authorized official.

NPPES Registry Identity

NPI1851119929

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameGRACE SPACE COUNSELING LLC

Location Address100 WALNUT AVE STE 210Clark, NJ 07066-1269

Mailing Address100 Walnut Ave Ste 210Clark, NJ 07066-1269 · (732) 454-7810 · Fax (732) 454-7811

Phone(732) 454-7810

Fax(732) 454-7811

Organization SubpartNo

Authorized OfficialLizandra PortalatinOwner · (732) 454-7810

Enumeration DateSeptember 28, 2024

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1851119929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

100 WALNUT AVE STE 210, Clark, NJ 07066

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP