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General NPI Number Information
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NPI Number | 1629841473
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Entity Type | Organization
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Legal Business Name | GRIT AND GRACE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3840-1 WILLIAMSBURG PARK BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-9245
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Country | US
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Telephone | 904-299-9589
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Fax | 904-299-9985
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Provider Business Mailing Address
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Address Line | 3832-10 BAYMEADOWS RD # 134
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City | JACKSONVILLE
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State | FL
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Zip | 32217-5606
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Country | US
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Telephone | 850-590-7098
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Fax | 904-299-9985
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TARA MARIE GRIFFITH
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Credential | LCSW
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Telephone | 850-590-7098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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