Grace Counseling & Services LLC
Organization Active NPI Clinical Social Worker · Attalla, AL
NPI 1962945600 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1962945600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1273-3856C (AL)
- Legal business name
- GRACE COUNSELING & SERVICES LLC
- Practice address
- 306 7TH Ave NW
Attalla, AL 35954-2048 - Phone
- (256) 295-7402
- NPI assigned
- Nov 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Renee Michelle Bellew, LICSW
- Title
- Clinical Social Worker
- Phone
- (256) 295-7402
Practitioners 2
-
Renee Michelle Bellew, LICSW PIP
-
Amber Thomas, LICSW PIP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171220001468 | AL | Part B Supplier - Clinic/Group Practice | 8527326586 |
Receives reassigned benefits from 1 practitioner Practice locations: Attalla, AL |
National Provider Directory
Locations
306 7th Ave NW
Attalla, AL 35954
Phone (205) 559-1197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 1273-3856C | AL | Yes |
Addresses
Primary practice location
306 7TH Ave NW
Attalla, AL 35954-2048
Mailing address
105 Cedar LN
Attalla, AL 35954-8935
Phone (256) 295-7402
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All providers in Attalla, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. 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.