Organization Active NPI

Grace Community Counseling & Social Services, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1760828677
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACE COMMUNITY COUNSELING & SOCIAL SERVICES, LLC
Practice address
777 Cleveland Ave SW Ste 301
Atlanta, GA 30315-7118
Phone
(678) 508-3552
NPI assigned
May 18, 2013
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Tracy Gantlin-Monroy, LPCNPI 1740766013
Title
Therapist/Ceo
Phone
(678) 508-3552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X APC003620 GA
Community/Behavioral Health Agency 251S00000X LPC008821 GA
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

777 Cleveland Ave SW Ste 301
Atlanta, GA 30315-7118

Mailing address

3325 Myrtle St
Hapeville, GA 30354-1419
Phone (678) 508-3552

Other practice location 1

3325 Myrtle St
Hapeville, GA 30354
Phone (678) 508-3552

National Provider Directory

National Provider Directory

Locations

777 Cleveland Ave SW
Ste 301
Atlanta, GA 30315
Phone (404) 228-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1760828677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 MYRTLE ST",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541419",
            "telephone_number": "678-508-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157118",
            "telephone_number": "678-508-3552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Hapeville",
            "state": "GA",
            "postal_code": "30354",
            "country_code": "US",
            "telephone_number": "678-508-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE COMMUNITY COUNSELING & SOCIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "GANTLIN-MONROY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "678-508-3552",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "APC003620",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008821",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.