Organization
GRACE & TRUTH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L PAYNE LCPC (COUNSELOR/OWNER)
(618) 665-3050
Entity
Organization
Contact information
Practice address
235 CHESTNUT ST., LOUISVILLE, IL 62858
(618) 665-3050
Mailing address
PO BOX 13, LOUISVILLE, IL 62858-0013
(618) 665-3050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194087445
INDIVIDUAL NPI
IL
01
—
12460403
CAQH
IL
01
—
180008958
STATE LICENSE NUMBER
IL
Enumeration date
01/04/2019
Last updated
11/08/2019
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