Organization
GLORY AND GRACE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY JACKSON (OWNER)
(903) 701-2212
Entity
Organization
Contact information
Practice address
4600 COUNTY AVE, TEXARKANA, AR 71854-1410
(903) 701-2212
Mailing address
4600 COUNTY AVE, TEXARKANA, AR 71854-1410
(903) 701-2212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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