Provider Demographics
NPI:1417495151
Name:GRACE COUNSELING, INC.
Entity Type:Organization
Organization Name:GRACE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWITT
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LMHC, CAP
Authorized Official - Phone:954-263-9657
Mailing Address - Street 1:5491 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4644
Mailing Address - Country:US
Mailing Address - Phone:954-263-9657
Mailing Address - Fax:
Practice Address - Street 1:5491 N UNIVERSITY DR
Practice Address - Street 2:SUITE 202A
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4644
Practice Address - Country:US
Practice Address - Phone:954-263-9657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8672305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization