Organization
EXTENDED GRACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN SCOTT LPC (LICENSED PROFESSIONAL COUNSELOR)
(404) 427-7321
Entity
Organization
Contact information
Practice address
2330 SCENIC HIGHWAY SOUTH, SUITE 313, SNELLVILLE, GA 30078-3115
(678) 892-6969
(770) 785-7250
Mailing address
2330 SCENIC HIGHWAY SOUTH,, SUITE 313, SNELLVILLE, GA 30078-3115
(678) 892-6969
(770) 785-7250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
LPC004880
GA
Other
Enumeration date
07/29/2011
Last updated
07/20/2021
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