Healthcare Provider Details
I. General information
NPI: 1699459610
Provider Name (Legal Business Name): FINDING GRACE COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
287 S BROADVIEW ST STE B3
GREENBRIER AR
72058-9233
US
IV. Provider business mailing address
287 S BROADVIEW ST STE B3
GREENBRIER AR
72058-9233
US
V. Phone/Fax
- Phone: 501-335-2438
- Fax: 501-745-2378
- Phone: 501-335-2438
- Fax: 501-745-2378
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAIGE
SUTTER
Title or Position: OWNER
Credential: LPC
Phone: 501-335-2438