# GRACE CHRISTIAN COUNSELING CENTER

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

## Provider details

- **NPI number:** 1447295654
- **Authorized official:** MR. WALTER LEE FRAZIER LPC,MCP,NCC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 636-5703

## Contact information

- **Practice address:** 1414 CHERRY ST, VICKSBURG, MS 39180-3218
- **Practice address phone:** (601) 636-5703
- **Practice address fax:** (601) 636-5739
- **Mailing address:** 1414 CHERRY ST, VICKSBURG, MS 39180-3218
- **Mailing address phone:** (601) 636-5703
- **Mailing address fax:** (601) 636-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1046 | MS | — |
| 101YP2500X | Professional Counselor | 779 | MS | — |
| 104100000X | Social Worker | C5390 | MS | — |
| 106H00000X | Marriage & Family Therapist | C5390 | MS | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/11/2025