Organization · Type 2 NPI
Divine Grace Resource Center Inc
Mental Health Counselor · Loganville, GA
NPI number
1649158635
Active
Practice location
870 Langley Farms Dr
Loganville, GA 30052-7960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1649158635
Divine Grace Resource Center Inc's National Provider Identifier is 1649158635, issued on Aug 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loganville, GA. The record was last updated on Aug 26, 2025.