National Provider Identifier Database

HOME OF GRACE COUNSELING SERVICES LLC
Mental Health (Including Community Mental Health Center)


Contact Information

HOME OF GRACE COUNSELING SERVICES, LLC
14200 JERICHO RD
VANCLEAVE, MS39565-9771
Phone: 228-826-5283
Fax: 228-826-1663
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adult Mental Health 261QM0850X
Rehabilitation, Substance Use Disorder Unit 276400000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for HOME OF GRACE COUNSELING SERVICES, LLC

NPI Number 1053935940
Legal business name
LBN
HOME OF GRACE COUNSELING SERVICES, LLC
Authorized official JOSHUA BARTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/05/2020
Last updated 07/20/2020 - About 6 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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