Grace and Renewal LLC

NPI #1174389431 in Woodbury, Minnesota

Provider Information

NPI Number: 1174389431
Entity Type: Organization
Organization Name: Grace and Renewal LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 26, 2024
Last Updated: Feb 26, 2024

Practice Location

Address: 680 COMMERCE DR STE 271
City: Woodbury
State: Minnesota
ZIP Code: 55125-4512
Phone: (612) 558-6132

Authorized Official

Name: KARA LYNN DOLNEY, LPCC
Title: LICENSED MENTAL HEALTH THERAPIST
Phone: (612) 558-6132

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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