Provider Demographics
NPI:1396536892
Name:GUIDING YOU WITH GRACE LLC
Entity type:Organization
Organization Name:GUIDING YOU WITH GRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEYONNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOEHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-790-0242
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-0252
Mailing Address - Country:US
Mailing Address - Phone:631-790-0242
Mailing Address - Fax:
Practice Address - Street 1:207 STORM DRIVE
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-1921
Practice Address - Country:US
Practice Address - Phone:631-790-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty