Grace Christian Counseling Center of Clarksdale

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE

Practice address

230 Elm Ave
Clarksdale, MS 38614-3210

Phone

(662) 624-4303

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri T. Jackson

Title

Certified Temperment Counselor

Phone

(662) 624-4303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1922297811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 ELM AVE",
            "address_2": "P. O. BOX 264",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143210",
            "telephone_number": "662-624-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ELM AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143210",
            "telephone_number": "662-624-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CERTIFIED TEMPERMENT COUNSELOR",
        "authorized_official_telephone_number": "662-624-4303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayshayla Mone'T Galmore, LPTA
• Genesis Hospice Care, LLC
• Bronwynn Claire Gist, RHD
• Caleb Tyler Gooch, PHARMD
• Billie M Goodman, M.A., CCC-A
• Teressa L Grace, N/A
• Yolanda Grady
• April Green, ATC
• Alecia Greer, CNA
• Frances Parker Griffin, MSW

• Voluntary or Charitable Agency in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Voluntary or Charitable Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.