Provider Demographics
NPI:1124624572
Name:GRACE AND GUIDANCE COUNSELING LLC
Entity type:Organization
Organization Name:GRACE AND GUIDANCE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-789-8988
Mailing Address - Street 1:1805 S HORSE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5272
Mailing Address - Country:US
Mailing Address - Phone:956-789-8988
Mailing Address - Fax:
Practice Address - Street 1:1805 S HORSE ST APT 4
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5272
Practice Address - Country:US
Practice Address - Phone:956-789-8988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX79224OtherLICENSE PROFESSIONAL COUNSELOR