Provider Demographics
NPI:1487275095
Name:SAVING GRACE THERAPY SERVICES
Entity type:Organization
Organization Name:SAVING GRACE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-284-9135
Mailing Address - Street 1:8350 ARCHIBALD AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3671
Mailing Address - Country:US
Mailing Address - Phone:951-284-9135
Mailing Address - Fax:
Practice Address - Street 1:8350 ARCHIBALD AVE STE 225
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3671
Practice Address - Country:US
Practice Address - Phone:951-284-9135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty