# GARDENIA GRACE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336992130
- **Authorized official:** ALEXANDRIA HENDERSON M.ED., LPC, NCC (OWNER/COUNSELOR)
- **Authorized official phone:** (205) 568-0170

## Contact information

- **Practice address:** 2105 DEVEREUX CIR, VESTAVIA, AL 35243-2563
- **Practice address phone:** (205) 319-9152
- **Mailing address:** 3025 PIPER WAY, HOOVER, AL 35244-3378
- **Mailing address phone:** (205) 568-0170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 08/13/2024