MEDICARE: FINDING GRACE COUNSELING PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1427888940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINDING GRACE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	5800 SIR KNIGHT CIR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8364
Country	:	US
Telephone Number	:	336-749-9384
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 CLEMMONS RD STE 124
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-9396
Country	:	US
Telephone Number	:	336-422-7882
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SOLO THERAPIST
Name	:	MARIANNA BOWEN
Credential	:	LCMHC
Telephone Number	:	336-749-9384

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

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