Healthcare Provider Details

I. General information

NPI: 1811708167
Provider Name (Legal Business Name): ACCEPTING GRACE COUNSELING & THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 COBBS POINT LN
CHESTER VA
23836-5932
US

IV. Provider business mailing address

733 COBBS POINT LN
CHESTER VA
23836-5932
US

V. Phone/Fax

Practice location:
  • Phone: 804-677-5763
  • Fax: 800-398-4082
Mailing address:
  • Phone: 804-677-5763
  • Fax: 800-398-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ANICA L WALSTON
Title or Position: CEO / THERAPIST
Credential: MC
Phone: 804-677-5763