MEDICARE: GRACE COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144190059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE COUNSELING

Provider Business Mailing Address
First Line	:	2020 E GRAND AVE STE 410
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-4380
Country	:	US
Telephone Number	:	307-399-5295
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 E GRAND AVE STE 410
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-4380
Country	:	US
Telephone Number	:	307-399-5295
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MOLLY MARGARET SCHULTZ
Credential	:	LPC
Telephone Number	:	397-399-5295

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “GRACE COUNSELING ” Practice Location

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