OrganizationActive
A Space for Grace
NPI 1013605336 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kenai, AK
Provider details
- NPI number
- 1013605336
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Wingster, Lpc, Owner(907) 252-8878
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
215 Fidalgo Ave Ste 204a
Kenai, AK 99611-7776
Phone: (907) 252-8878
Approximate (ZIP-level) locationGet directions
Mailing address
2560 Seine Ct
Kenai, AK 99611-8827
Other names (DBA / former)
- Doing business as
- A Space for Grace
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.