Provider Demographics
NPI:1528504479
Name:GRACES COUNSELING SERVICES
Entity type:Organization
Organization Name:GRACES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, ACS
Authorized Official - Phone:201-210-9020
Mailing Address - Street 1:2817 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-815-3127
Practice Address - Street 1:2817 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087
Practice Address - Country:US
Practice Address - Phone:201-210-9020
Practice Address - Fax:877-815-3127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health