=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619802725
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GRIT & GRACE COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2026
-----------------------------------------------------
Last Update Date | 06/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1537 N LINDER RD
-----------------------------------------------------
City | KUNA
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83634-1217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-495-4677
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 108 S 13TH AVE W
-----------------------------------------------------
City | MARSING
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83639-5311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. BAILEY RHEANN LANDON
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 208-495-4677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------