Provider Demographics
NPI:1477178473
Name:GRACE COUNSELING & FAMILY SERVICES S.C
Entity Type:Organization
Organization Name:GRACE COUNSELING & FAMILY SERVICES S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-853-0564
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53950-0017
Mailing Address - Country:US
Mailing Address - Phone:608-562-3976
Mailing Address - Fax:
Practice Address - Street 1:121 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:WI
Practice Address - Zip Code:53950-1205
Practice Address - Country:US
Practice Address - Phone:608-562-3976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health