MEDICARE: SURROUNDED BY GRACE COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1821988668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURROUNDED BY GRACE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	8105 RASOR BLVD STE 110
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0334
Country	:	US
Telephone Number	:	940-220-0057
Fax Number	:	682-316-9969

Provider Business Practice Location Address
First Line	:	7301 STATE HIGHWAY 161 STE 148
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2803
Country	:	US
Telephone Number	:	940-220-0057
Fax Number	:	682-316-9969

Authorized Official
Title or Position	:	OWNER
Name	:	SHENETRA MORGAN
Credential	:	LCSW
Telephone Number	:	940-220-0057

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	03/26/2026

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