NPI 1013605336

A Space for Grace

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Kenai, AK

Practice location

Address: 215 Fidalgo Ave STE 204a, Kenai, AK 99611-7776
Phone: (907) 252-8878
Mailing address: 2560 Seine CT, Kenai, AK 99611-8827

Authorised official

Name: Kelly Lynn Wingster
Title: Lpc, Owner
Phone: (907) 252-8878

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1013605336
Entity type: Organization
NPI issued: 25 Apr 2023
Record last updated: 25 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.