Glory and Grace Collective

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GLORY AND GRACE COLLECTIVE

Practice address

4600 County Ave
Texarkana, AR 71854-1410

Phone

(903) 701-2212

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By 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

Whitney Jackson

Title

Owner

Phone

(903) 701-2212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1194612770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 COUNTY AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541410",
            "telephone_number": "903-701-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 COUNTY AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541410",
            "telephone_number": "903-701-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY AND GRACE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-701-2212"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elizabeth George, MD
• Tanya Maria Gibson, BSIS EDUCATION
• Josh Gill, MHPP
• Chelsey Gillion, MHPP
• Phillip Jay Glasgow II, M.D.
• Michael Godfrey
• Golden Years Adult Daycare Center, Inc.
• Maria M Gonzalez
• Coleman Gordon, MHPP
• Mary Gayle Gordon, MS

• Professional Counselor in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.