National Provider Identifier Database

GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE
Voluntary or Charitable


Contact Information

GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE
230 ELM AVE
CLARKSDALE, MS38614-3210
Phone: 662-624-4303
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE

NPI Number 1922297811
Legal business name
LBN
GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE
Authorized official SHERRI JACKSON - (CERTIFIED TEMPERMENT COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 10/17/2007
Last updated 10/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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