Organization
GRACE COUNSELING & CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE A CRAWFORD LPC-S, NCC (MANAGING MEMBER)
(256) 684-2462
Entity
Organization
Contact information
Practice address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 684-2462
Mailing address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 684-2462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700144979
NPI
—
Enumeration date
04/27/2020
Last updated
04/27/2020
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