Healthcare Provider Details

I. General information

NPI: 1760346852
Provider Name (Legal Business Name): MARIA GRACE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 HALE RD
ELKINS AR
72727-2401
US

IV. Provider business mailing address

658 HALE RD
ELKINS AR
72727-2401
US

V. Phone/Fax

Practice location:
  • Phone: 479-970-9328
  • Fax:
Mailing address:
  • Phone: 479-970-9328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARIA THERESE GRACE
Title or Position: OWNER
Credential: LCSW
Phone: 479-970-9328