| Grace Counseling Services LLC | |
|
115 E Main St Buford GA 30518-5727 | |
| (678) 753-7200 | |
| (678) 753-8200 |
| Full Name | Grace Counseling Services LLC |
|---|---|
| Speciality | Counselor |
| Location | 115 E Main St, Buford, Georgia |
| Authorized Official Name and Position | Nikki Mcdonald (LPC) |
| Authorized Official Contact | 6787537200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Services LLC 115 E Main St Buford GA 30518-5727 Ph: (678) 753-7200 | Grace Counseling Services LLC 115 E Main St Buford GA 30518-5727 Ph: (678) 753-7200 |
| NPI Number | 1790440287 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Medicare PECOS PAC ID | 6507393816 |
|---|---|
| Medicare Enrollment ID | O20241227002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790440287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Barbara Nicole Patten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770145021 PECOS PAC ID: 9537570544 Enrollment ID: I20201124000654 |
| Provider Name | Nikki Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235507328 PECOS PAC ID: 7315474624 Enrollment ID: I20241227002175 |
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