A Space for Grace

NPI #1013605336 in Kenai, Alaska

Provider Information

NPI Number: 1013605336
Entity Type: Organization
Organization Name: A Space for Grace
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 215 FIDALGO AVE STE 204A
City: Kenai
State: Alaska
ZIP Code: 99611-7776
Phone: (907) 252-8878

Authorized Official

Name: KELLY LYNN WINGSTER, MS, LPC
Title: LPC, OWNER
Phone: (907) 252-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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