Provider Demographics
NPI:1588234454
Name:EYE, GRACE JESSICA (LCPC)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:JESSICA
Last Name:EYE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BENNOCH RD
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-3616
Mailing Address - Country:US
Mailing Address - Phone:207-991-8937
Mailing Address - Fax:
Practice Address - Street 1:128 BENNOCH RD
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04473-3616
Practice Address - Country:US
Practice Address - Phone:207-991-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC8056101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health