Provider Demographics
NPI:1225179856
Name:GRACE COUNSELING, INC
Entity Type:Organization
Organization Name:GRACE COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-322-8112
Mailing Address - Street 1:4795 EMERALD ST STE J
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-2047
Mailing Address - Country:US
Mailing Address - Phone:208-322-8112
Mailing Address - Fax:208-375-6307
Practice Address - Street 1:4795 EMERALD ST STE J
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-2047
Practice Address - Country:US
Practice Address - Phone:208-322-8112
Practice Address - Fax:208-375-6307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-675251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health