| By Grace Counseling And Consulting Services, Llc | |
|
150 W Section Ave Ste 101 Foley AL 36535-3570 | |
| (575) 202-2375 | |
| Not Available |
| Full Name | By Grace Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 150 W Section Ave Ste 101, Foley, Alabama |
| Authorized Official Name and Position | Beatriz G. Favela (OWNER) |
| Authorized Official Contact | 5752022376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| By Grace Counseling And Consulting Services, Llc 25620 County Road 65 Loxley AL 36551-7622 Ph: (575) 202-2376 | By Grace Counseling And Consulting Services, Llc 150 W Section Ave Ste 101 Foley AL 36535-3570 Ph: (575) 202-2375 |
| NPI Number | 1376258764 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0749639250 |
|---|---|
| Medicare Enrollment ID | O20231208003119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376258764 | NPI | - | NPPES |
| 5369C | Other | AL | LICSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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