# EVIDENCE OF GRACE COUNSELING CENTER

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

## Provider details

- **NPI number:** 1437686854
- **Authorized official:** TONYA D VELA (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (210) 436-2339

## Contact information

- **Practice address:** 803 CASTROVILLE RD, SUITE 134, SAN ANTONIO, TX 78237-3153
- **Practice address phone:** (210) 436-2339
- **Mailing address:** 803 CASTROVILLE RD, SUITE 134, SAN ANTONIO, TX 78237-3153
- **Mailing address phone:** (210) 436-2339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 05/16/2017