Grace Counseling & Consulting LLC
Organization Active NPI Professional Counselor · Alsip, IL
NPI 1356946065 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1356946065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- GRACE COUNSELING & CONSULTING LLC
- Practice address
- 12715 S la Crosse Ave
Alsip, IL 60803-3072 - Phone
- (708) 724-9631
- NPI assigned
- Dec 1, 2020
- Organization subpart
- No
Authorized official
- Name
- Jasmine Banner Hubbard, LCPC
- Title
- Owner &Clinician
- Phone
- (708) 724-9631
Practitioners 1
-
Jasmine Banner - Hubbard, LCPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
12715 S la Crosse Ave
Alsip, IL 60803-3072
Mailing address
12715 S la Crosse Ave Apt 202
Alsip, IL 60803-3051
Phone (708) 724-9631
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.