| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRACE POLANCO | 1649850942 | 2021-04-11 |
Grace Polanco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649850942. Registration indicates Grace Polanco is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Pastoral, ) (Counselor Pastoral, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Grace Polanco |
| Practice Office Address | 385 46TH ST APT 2 LINDENHURST, NY US |
| Practice Office Telephone | 5164733627 |
| Mailing Address | 385 46TH ST LINDENHURST, NY 117571916 US |
| Business Telephone | 5164733627 |
| Code | Practice | License No State |
|---|---|---|
| 101YP1600X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Pastoral Counselor Pastoral Behavioral Health & Social Service Providers Counselor | |
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |