Grace Place Collin LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

GRACE PLACE COLLIN LLC

Practice address

6115 Cupertino TRL
Dallas, TX 75252-2642

Phone

(414) 839-4755

Fax

(888) 320-7479

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Shanese McClendon

Title

Ceo

Phone

(414) 839-4755

Specialties & licenses 2

Addresses

Other names 1

• The Grace Agency Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1306336870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CUPERTINO TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522642",
            "telephone_number": "414-839-4755",
            "fax_number": "888-320-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CUPERTINO TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522642",
            "telephone_number": "414-839-4755",
            "fax_number": "888-320-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PLACE COLLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "SHANESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-839-4755"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcclendon@graceplacetx.org",
            "affiliation": "N",
            "address_1": "6115 Cupertino Trl",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752522642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Grace Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Grace Outreach
• Grace Place Counseling, PLLC
• Grace Presbyterian Ministries, Inc.
• Grace Southern Medical Clinic, PLLC
• Grace T. Chu, D.M.D., P.a.
• Grace to You Pediatrics

• Recovery Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Recovery Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.