Organization
GRACE COUNSELING & RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA NAYLOR (OWNER)
(334) 580-0851
Entity
Organization
Contact information
Practice address
1104 W 1ST ST STE 4, LAUREL, MS 39440-4357
(601) 651-6058
(601) 651-6478
Mailing address
1104 W 1ST ST STE 4, LAUREL, MS 39440-4357
(601) 651-6058
(601) 651-6478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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