NPI | 1912695479 |
---|---|
Doing Business As | ARDENT GRACE COUNSELING AND TELETHERAPY, LLC |
Entity Type | Organization |
Authorized Contact | CHRISTINE KERSTEN Therapist 254-271-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-05-12 |