Organization
BY GRACE COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ G. FAVELA LICSW (OWNER)
(575) 202-2376
Entity
Organization
Contact information
Practice address
150 W SECTION AVE STE 101, FOLEY, AL 36535-3570
(575) 202-2375
Mailing address
25620 COUNTY ROAD 65, LOXLEY, AL 36551-7622
(575) 202-2376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5369C
LICSW
AL
Enumeration date
01/19/2023
Last updated
08/07/2024
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