Organization
GRACEWAY COUNSELING SERVICES LLC
Active
Other names
Graceway Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MAYNARD MA, NCC (OWNER)
(304) 691-0873
Entity
Organization
Contact information
Practice address
744 4TH AVE STE 2, HUNTINGTON, WV 25701-1541
(304) 691-0873
(304) 955-9057
Mailing address
744 4TH AVE STE 2, HUNTINGTON, WV 25701-1541
(304) 691-0873
(304) 955-9057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
09/05/2024
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