Healthcare Provider Details

I. General information

NPI: 1326777129
Provider Name (Legal Business Name): GRIT AND GRACE COUNSEL AND CONSULT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E WALNUT ST
COLDWATER KS
67029-6495
US

IV. Provider business mailing address

PO BOX 562
COLDWATER KS
67029-0562
US

V. Phone/Fax

Practice location:
  • Phone: 785-580-8698
  • Fax:
Mailing address:
  • Phone: 785-580-8698
  • 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: MS. STEPHANIE J SALISBURY
Title or Position: OWNER
Credential: LSCSW
Phone: 785-580-8698