# GRACE HOUSE MINISTRIES

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

## Provider details

- **NPI number:** 1588147037
- **Authorized official:** GREG PARKS (OWNER)
- **Authorized official phone:** (317) 398-6697

## Contact information

- **Practice address:** 703 S HARRISON ST, SHELBYVILLE, IN 46176-2101
- **Practice address phone:** (317) 398-6697
- **Mailing address:** 703 S HARRISON ST, SHELBYVILLE, IN 46176-2101
- **Mailing address phone:** (317) 398-6697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2018
- **Last updated:** 09/11/2018