Organization · Type 2 NPI

Graceway Counseling Services LLC

Family Nurse Practitioner · Huntington, WV

NPI number 1003405978 Active

Practice location

744 4th Ave Ste 2
Huntington, WV 25701-1541

Call (304) 691-0873 Map

Fax (304) 955-9057

Other practice locations

33 Walnut Ln, Huntington, WV 25704-9485 · (304) 638-1551

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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NPI record

NPI: 1003405978
Entity type: Organization (Type 2)
Issued: Jan 14, 2021
Last updated: Sep 5, 2024
Status: Active

Other names

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Graceway Counseling Center · doing business as
Graceway Counseling Center · doing business as

Authorized official

Mr. Matthew Maynard, MA, NCC
Owner
(304) 691-0873

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003405978

Graceway Counseling Services LLC's National Provider Identifier is 1003405978, issued on Jan 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Huntington, WV. The record was last updated on Sep 5, 2024.