AMAZING GRACE COUNSELING SERVICES PLLC NPI 1497151484

NPI Information

NPI: 1497151484
Provider Name: AMAZING GRACE COUNSELING SERVICES, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9830 APPELLATE WAY
CONVERSE, TX
ZIP 78109
Phone: (210) 883-6287
Get Directions

AMAZING GRACE COUNSELING SERVICES, PLLC is an adult mental health clinic center in Converse, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. AMAZING GRACE COUNSELING SERVICES, PLLC NPI is 1497151484. The provider is registered as an organization entity type.

The provider's business location address is:

9830 APPELLATE WAY
CONVERSE, TX
ZIP 78109-985
Phone: (210) 883-6287
Fax: (210) 305-5750

The provider's authorized official is Necole W. Fryar .
The authorized official title is Ceo and has the following contact phone number (210) 883-6287.

The enumeration date for this NPI number is 11/18/2014 and was last updated on 12/1/2016.

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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	66851	TEXAS	No
2	261QM0850X	Clinic/Center	Adult Mental Health	66851	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3455909-01	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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