Healing Grace, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HEALING GRACE, LLC

Doing business as

Healing Grace, LLC

Practice address

310 US 71 N
Sauk Centre, MN 56378-4919

Phone

(320) 272-8989

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Jean Morales, LADCNPI 1194320473

Title

Owner/Treatment Director

Phone

(763) 260-3347

Specialties & licenses 2

Addresses

Other names 1

• Healing Grace, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamara Jean Morales, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Sauk Centre, MN
  • NPI 1194320473
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1114522273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17641 COUNTY ROAD 66 NE",
            "city": "MILTONA",
            "state": "MN",
            "postal_code": "563548272",
            "telephone_number": "763-260-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 US 71 N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563784919",
            "telephone_number": "320-272-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "763-260-3347",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Grace, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Sauk Centre, MN
• Providers in Sauk Centre, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.