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Organization
BY GRACE COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization
BY GRACE COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ G. FAVELA LICSW (OWNER)
(575) 202-2376
Entity
Organization
Contact information
Practice address
150 W SECTION AVE STE 101, FOLEY, AL 36535-3570
(575) 202-2375
Mailing address
25620 COUNTY ROAD 65, LOXLEY, AL 36551-7622
(575) 202-2376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5369C
LICSW
AL
Enumeration date
01/19/2023
Last updated
08/07/2024
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