| Organization Name: | SHEILA GRACE PA |
| NPI Number: | 1023354396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHEILA T. GRACE (OWNER) |
| Mailing Address: | 345 Cottage Rd South Portland |
| State: | ME US |
| Postal Code: | 041063919 |
| Phone Number: | 2077990422 |
| Fax Number: | 2077995151 |
| NPI Enumeration Date: | 12/14/2012 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |