Organization
GRIT AND GRACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY TIERNON (OWNER/FOUNDER)
(260) 227-5900
Entity
Organization
Contact information
Practice address
312 E DUPONT RD STE 101, FORT WAYNE, IN 46825-8000
(260) 227-5900
Mailing address
1817 BEINEKE RD, FORT WAYNE, IN 46808-1627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/26/2022
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