Organization
GRACE COMMUNITY COUNSELING & SOCIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GANTLIN-MONROY LPC (THERAPIST/CEO)
(678) 508-3552
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW STE 301, ATLANTA, GA 30315-7118
(678) 508-3552
Mailing address
3325 MYRTLE ST, HAPEVILLE, GA 30354-1419
(678) 508-3552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
APC003620
GA
251S00000X
Community/Behavioral Health Agency
LPC008821
GA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2013
Last updated
01/11/2019
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