Healing With Grace Counseling & Consulting Services, LLC
Organization Active NPI Clinical Social Worker · Jefferson, GA
NPI 1821899550 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1821899550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- HEALING WITH GRACE COUNSELING & CONSULTING SERVICES, LLC
- Practice address
- 78 Washington St
Jefferson, GA 30549-1002 - Phone
- (706) 248-7045
- NPI assigned
- Mar 19, 2025
- Organization subpart
- No
Authorized official
- Name
- Ms. Keo L Wood, LCSW
- Title
- Owner
- Phone
- (706) 248-7045
Practitioners 1
-
Keo L Wood, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250618003085 | GA | Part B Supplier - Clinic/Group Practice | 7012428766 |
Receives reassigned benefits from 1 practitioner Practice locations: Jefferson, GA |
National Provider Directory
Locations
80 Washington St
Ste D
Jefferson, GA 30549
Phone (706) 247-8120
78 Washington St
Jefferson, GA 30549
Phone (706) 248-7045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
78 Washington St
Jefferson, GA 30549-1002
Mailing address
43 Bailey Park CT
Jefferson, GA 30549-7108
Phone (706) 248-7045
Other providers in Jefferson, GA
- Carmelita Hale
- Catherine Marie Harm
- Jada Harrison
- Susan Weaver Hawn
- Angela L Haynes
- Health Connection Inc
- Health Connection Inc
- Madelynne Hellemn
- Cheryl Hill
- Kristin Hines
All providers in Jefferson, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.