GRACE CHRISTIAN COUNSELING CENTER NPI 1447295654

NPI Information

  • NPI: 1447295654
  • Provider Name: GRACE CHRISTIAN COUNSELING CENTER
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 1414 CHERRY ST
    VICKSBURG, MS
    ZIP 39180
  • Phone: (601) 636-5703

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NPI Details

GRACE CHRISTIAN COUNSELING CENTER is a marriage family therapist in Vicksburg, MS. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. GRACE CHRISTIAN COUNSELING CENTER NPI is 1447295654. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180-218
Phone: (601) 636-5703
Fax: (601) 636-5739

The provider's authorized official is Walter Lee Frazier .
The authorized official title is Executive Director and has the following contact phone number (601) 636-5703.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/11/2025.

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
1101YP2500XCounselorProfessional779MISSISSIPPINo
2101YP2500XCounselorProfessional1046MISSISSIPPINo
3104100000XSocial WorkerC5390MISSISSIPPINo
4106H00000XMarriage & Family TherapistC5390MISSISSIPPIYes

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: 11/21/2025

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