Organization · Type 2 NPI

Extended Grace Counseling, LLC

Professional Counselor · Snellville, GA

NPI number 1619255338 Active

Practice location

2330 Scenic Highway South, Suite 313
Snellville, GA 30078-3115

Call (678) 892-6969 Map

Fax (770) 785-7250

Mailing address

2330 Scenic Highway South,, Suite 313
Snellville, GA 30078-3115

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Community/Behavioral Health Agency 251S00000XLPC004880 (GA)

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About NPI 1619255338

Extended Grace Counseling, LLC's National Provider Identifier is 1619255338, issued on Jul 29, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Snellville, GA. The record was last updated on Jul 20, 2021.