| Extended Grace Counseling, Llc | |
|
2330 Scenic Highway South Suite 313 Snellville GA 30078-3115 | |
| (678) 892-6969 | |
| (770) 785-7250 |
| Full Name | Extended Grace Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2330 Scenic Highway South, Snellville, Georgia |
| Authorized Official Name and Position | Rebecca Ann Scott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4044277321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Grace Counseling, Llc 2330 Scenic Highway South, Suite 313 Snellville GA 30078-3115 Ph: (678) 892-6969 | Extended Grace Counseling, Llc 2330 Scenic Highway South Suite 313 Snellville GA 30078-3115 Ph: (678) 892-6969 |
| NPI Number | 1619255338 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619255338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | LPC004880 (Georgia) | Secondary |
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