OrganizationActive
Essential Grace Therapy, PLLC
NPI 1114526548 · Mental Health Counselor · Becker, MN
Provider details
- NPI number
- 1114526548
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jodi Smith, Owner(763) 291-0468
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
12390 Sherburne Ave Ste 210
Becker, MN 55308-9147
Phone: (763) 291-0468
Approximate (ZIP-level) locationGet directions
Mailing address
24910 184th St Nw
Big Lake, MN 55309-9788
Registry dates
- Enumerated
- 2020-10-16
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.