Healthcare Provider Details

I. General information

NPI: 1275470288
Provider Name (Legal Business Name): ONLY GRACE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 N IRONWOOD PKWY STE 120
COEUR D ALENE ID
83814-2647
US

IV. Provider business mailing address

2636 N REVETTE ST UNIT B
POST FALLS ID
83854-4960
US

V. Phone/Fax

Practice location:
  • Phone: 208-406-6104
  • Fax:
Mailing address:
  • Phone: 208-570-4604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHAWN GRISCHKOWSKY
Title or Position: OWNER
Credential: LCSW
Phone: 208-406-6106