Healthcare Provider Details

I. General information

NPI: 1871401760
Provider Name (Legal Business Name): GRACE AND GROWTH BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 STATELY OAKS CIR
BRUNSWICK GA
31523-1466
US

IV. Provider business mailing address

130 STATELY OAKS CIR
BRUNSWICK GA
31523-1466
US

V. Phone/Fax

Practice location:
  • Phone: 912-342-0386
  • Fax:
Mailing address:
  • Phone: 912-342-0386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CARRIE HURLEY
Title or Position: OWNER/PRACTITIONER
Credential: MS, BCBA, LBA
Phone: 912-342-0386