Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Clinical Counseling Centre, Inc

Organization Mental Health Counselor · NPI 1174281463

Grace Clinical Counseling Centre, Inc is a Mental Health Counselor in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5062 N 19th Ave Ste 100
Phoenix, AZ 85015-3225
Phone: (602) 855-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Primary Care Clinic/Center Taxonomy 261QP2300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1174281463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wildine Burgess — Executive Administrator · (240) 350-2863
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address5062 N 19th Ave Ste 100, Phoenix, AZ 85015-3225

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