Organization
GRACE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA R PRINCE LCSW (PRESIDENT)
(479) 498-6700
Entity
Organization
Contact information
Practice address
701 E MAIN ST, SUITE 3, RUSSELLVILLE, AR 72801-5247
(479) 498-6700
Mailing address
701 E MAIN ST, SUITE 3, RUSSELLVILLE, AR 72801-5247
(479) 498-6700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2060C
AR
Other
Enumeration date
06/15/2014
Last updated
07/22/2014
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