Healthcare Provider Details

I. General information

NPI: 1922975697
Provider Name (Legal Business Name): GRACE CREATIVE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 MAPLE AVE # 1005
ZANESVILLE OH
43701-1758
US

IV. Provider business mailing address

3030 MAPLE AVE # 1005
ZANESVILLE OH
43701-1758
US

V. Phone/Fax

Practice location:
  • Phone: 614-706-1351
  • Fax:
Mailing address:
  • Phone: 614-706-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA N STEWART
Title or Position: CO-OWNER
Credential: LPC
Phone: 740-644-7153