Healthcare Provider Details

I. General information

NPI: 1356299341
Provider Name (Legal Business Name): HOPE & GRACE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 LELIA DR STE 201
JACKSON MS
39216-4828
US

IV. Provider business mailing address

1755 LELIA DR STE 201
JACKSON MS
39216-4828
US

V. Phone/Fax

Practice location:
  • Phone: 601-362-7020
  • Fax:
Mailing address:
  • Phone: 601-362-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN ALLEEN MCLAIN
Title or Position: COUNSELOR
Credential: LPC
Phone: 601-291-8705