| Grit And Grace Counseling Services, Llc | |
|
10163 Fortune Pkwy Jacksonville FL 32256-3519 | |
| (904) 299-9589 | |
| (904) 299-9985 |
| Full Name | Grit And Grace Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10163 Fortune Pkwy, Jacksonville, Florida |
| Authorized Official Name and Position | Tara Marie Griffith (OWNER) |
| Authorized Official Contact | 8505907098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grit And Grace Counseling Services, Llc 3832-10 Baymeadows Rd # 134 Jacksonville FL 32217-5606 Ph: (850) 590-7098 | Grit And Grace Counseling Services, Llc 10163 Fortune Pkwy Jacksonville FL 32256-3519 Ph: (904) 299-9589 |
| NPI Number | 1629841473 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Medicare PECOS PAC ID | 0840701314 |
|---|---|
| Medicare Enrollment ID | O20250612003821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629841473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara Marie Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922713627 PECOS PAC ID: 7719358894 Enrollment ID: I20230127002148 |
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