Healthcare Provider Details

I. General information

NPI: 1144793928
Provider Name (Legal Business Name): GRACE & TRUTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 N CUMMINGS LN
WASHINGTON IL
61571-7501
US

IV. Provider business mailing address

631 N CUMMINGS LN
WASHINGTON IL
61571-7501
US

V. Phone/Fax

Practice location:
  • Phone: 309-265-2108
  • Fax:
Mailing address:
  • Phone: 309-265-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA PAYNE
Title or Position: OWNER/COUNSELOR
Credential: LCPC
Phone: 309-265-2108