Provider Demographics
NPI:1376217810
Name:PLENTY AND GRACE COUNSELING SERVICES
Entity Type:Organization
Organization Name:PLENTY AND GRACE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRINK
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, LMFT-S, CST
Authorized Official - Phone:910-309-6569
Mailing Address - Street 1:7917 LESTER DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-7420
Mailing Address - Country:US
Mailing Address - Phone:808-349-4163
Mailing Address - Fax:
Practice Address - Street 1:2525 RAEFORD RD STE C
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5092
Practice Address - Country:US
Practice Address - Phone:910-309-6569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health