EXTENDED GRACE COUNSELING LLC NPI 1619255338

NPI Information

NPI: 1619255338
Provider Name: EXTENDED GRACE COUNSELING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2330 SCENIC HIGHWAY SOUTH
SUITE 313
SNELLVILLE, GA
ZIP 30078
Phone: (678) 892-6969
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EXTENDED GRACE COUNSELING, LLC is a professional counselor in Snellville, GA. EXTENDED GRACE COUNSELING, LLC NPI is 1619255338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2330 SCENIC HIGHWAY SOUTH
SUITE 313
SNELLVILLE, GA
ZIP 30078-115
Phone: (678) 892-6969
Fax: (770) 785-7250

The provider's authorized official is Rebecca Ann Scott .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (404) 427-7321.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 7/20/2021.

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	101YP2500X	Counselor	Professional			Yes
2	251S00000X	Community/Behavioral Health		LPC004880	GEORGIA	No

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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