GRACEWAY COUNSELING SERVICES LLC NPI 1003405978

NPI Information

NPI: 1003405978
Provider Name: GRACEWAY COUNSELING SERVICES LLC

Doing Business As: GRACEWAY COUNSELING CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
744 4TH AVE STE 2
HUNTINGTON, WV
ZIP 25701
Phone: (304) 691-0873
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GRACEWAY COUNSELING SERVICES LLC is a family nurse practitioner in Huntington, WV. GRACEWAY COUNSELING SERVICES LLC NPI is 1003405978. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Graceway Counseling Center.

The provider's business location address is:

744 4TH AVE STE 2
HUNTINGTON, WV
ZIP 25701-541
Phone: (304) 691-0873
Fax: (304) 955-9057

The provider's authorized official is Matthew Maynard .
The authorized official title is Owner and has the following contact phone number (304) 691-0873.

The CLIA number assigned to this NPI record is 51D2290531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	251S00000X	Community/Behavioral Health		No
3	261QP2300X	Clinic/Center	Primary Care	No
4	363LF0000X	Nurse Practitioner	Family	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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