Provider Demographics
NPI:1114757069
Name:GIVING GRACE COUNSELING, LLC
Entity type:Organization
Organization Name:GIVING GRACE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-850-4091
Mailing Address - Street 1:56 HUGHES RD
Mailing Address - Street 2:PMB116
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6500
Mailing Address - Country:US
Mailing Address - Phone:256-850-4091
Mailing Address - Fax:256-975-1643
Practice Address - Street 1:56 HUGHES RD PMB116
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-6500
Practice Address - Country:US
Practice Address - Phone:256-850-4091
Practice Address - Fax:256-975-1643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty