Grace Counseling, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2060C Issued in AR

Legal business name

GRACE COUNSELING, INC.

Practice address

701 E Main St
Suite 3
Russellville, AR 72801-5247

Phone

(479) 498-6700

NPI assigned

Jun 15, 2014

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audra R Prince, LCSW

Title

President

Phone

(479) 498-6700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1164836417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015247",
            "telephone_number": "479-498-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015247",
            "telephone_number": "479-498-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-498-6700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "2060C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan N Goodwin, PT
• Chloe Gordon, RECOVERY ASSISTANT
• Savannah Lorraine Gordon
• Tanner S Goulet, PTA
• Grace Counseling and Consulting
• Maureen Grace
• Darrell S Gray Jr., DPT
• Robert Van Graybill, DDS
• Shawna Dee Grayham, STATE LICENSE
• Nicole Greathouse

• Community/Behavioral Health Agency in Russellville, AR
• Providers in Russellville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.