Provider Demographics
NPI:1528877073
Name:COUNSELING WITH GRACE LLC
Entity type:Organization
Organization Name:COUNSELING WITH GRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CLINICAL DIRECTOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-272-7706
Mailing Address - Street 1:1436 SONGBIRD DR UNIT 2102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5112
Mailing Address - Country:US
Mailing Address - Phone:239-272-7706
Mailing Address - Fax:
Practice Address - Street 1:669 HADLEY ST E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-0881
Practice Address - Country:US
Practice Address - Phone:239-272-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty