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Home of Grace Counseling Services, LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Vancleave, MS

NPI 1053935940 · NPPES record last updated Jul 20, 2020

Key facts

NPI
1053935940
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
HOME OF GRACE COUNSELING SERVICES, LLC
Practice address
14200 Jericho Rd
Vancleave, MS 39565-9771
Phone
(228) 826-5283
Fax
(228) 826-1663
NPI assigned
Jun 5, 2020
Organization subpart
No

Authorized official

Name
Mr. Joshua Barton
Title
Executive Director
Phone
(228) 826-6522

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

7112 Home of Grace Dr
Gautier, MS 39553
Phone (228) 497-1312

14200 Jericho Rd
Vancleave, MS 39565
Phone (228) 826-5283

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

14200 Jericho Rd
Vancleave, MS 39565-9771

Mailing address

PO Box 5009
Vancleave, MS 39565-5009
Phone (228) 826-5283

Other practice location 1

7112 Home Of Grace Dr
Gautier, MS 39553-2728
Phone (228) 497-1312

Other providers in Vancleave, MS

All providers in Vancleave, MS · Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

Sources for this page

Verify at the official NPI Registry.