Grace Therapy & Healing PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GRACE THERAPY & HEALING PLLC

Doing business as

Grace Therapy & Healing

Practice address

1675 N Freedom Blvd Ste 10B
Provo, UT 84604-6906

Phone

(801) 900-6056

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Brian David Bradford

Title

Business Director

Phone

(801) 900-5108

Specialties & licenses 1

Addresses

Other names 1

• Grace Therapy & Healing Doing business as

Practitioners 2

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.

• Kayla Mennenga, PH.D.

  • Marriage & Family Therapist
  • Provo, UT
  • NPI 1699128967
  NPD
• Abigail Elizabeth Luthi Sagers, LMFT

  • Marriage & Family Therapist
  • Provo, UT
  • NPI 1619688538
  NPD (past)

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1588307961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906",
            "telephone_number": "801-900-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906",
            "telephone_number": "801-900-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE THERAPY & HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "801-900-5108"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Therapy & Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn Gould
• Anthony Goulding
• Zachary Dan Goulding
• George C Gourley, DO
• Jayanti P Govindji, MD
• William R Graden, MD
• Justin Wallace Graf, MD
• Dan Graham, MS, ATC, EMT
• Laura Graham
• Nadine Graham

• Marriage & Family Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.