NPI 1255924049 · live from the CMS NPI Registry
Anchored Grace Therapy, LLC
Social Worker, Clinical in Prineville, OR. National Provider Identifier 1255924049, active.
NPI record
| NPI | 1255924049 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 888 Nw Ewen St, Prineville, OR 97754 |
| Practice phone | 541-539-0888 |
| Enumerated | February 12, 2021 |
| Last updated | February 12, 2021 |
| Authorized official | Rebecca Bowman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.