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

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.

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
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

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

Other Providers at the Same Location NPPES 11

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

Counselor
100 WALNUT AVE STE 210
CLARK, NJ 07066
Internal Medicine (Pulmonary Disease)
100 WALNUT AVE STE 210
CLARK, NJ 07066
Internal Medicine (Pulmonary Disease)
100 WALNUT AVE STE 210
CLARK, NJ 07066
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Counselor (Addiction (Substance Use Disorder))
100 WALNUT AVE STE 210
CLARK, NJ 07066
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066

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 Space Counseling LLC's NPI number?

The NPI number for Grace Space Counseling LLC is 1851119929. It was assigned to this organization in the NPPES registry on September 28, 2024.

Where is Grace Space Counseling LLC located?

Grace Space Counseling LLC is located at 100 Walnut Ave Ste 210, Clark, NJ 07066. The listed phone number is (732) 454-7810.

What is Grace Space Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grace Space Counseling LLC was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.