| Grace Counseling Pllc | |
|
598 Yandell Rd Canton MS 39046-8846 | |
| (601) 506-9724 | |
| (601) 861-4924 |
| Full Name | Grace Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 598 Yandell Rd, Canton, Mississippi |
| Authorized Official Name and Position | Dana Michelle Jones (OWNER/COUNSELOR) |
| Authorized Official Contact | 6019553079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Pllc 110 Huber St Madison MS 39110-6983 Ph: (601) 955-3079 | Grace Counseling Pllc 598 Yandell Rd Canton MS 39046-8846 Ph: (601) 506-9724 |
| NPI Number | 1659863256 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863256 | NPI | - | NPPES |
| 03688237 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1287 (Mississippi) | Primary |
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