Provider Demographics
NPI:1598434680
Name:GUIDANCE WITH GRACE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:GUIDANCE WITH GRACE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-430-4498
Mailing Address - Street 1:134 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62681-1420
Mailing Address - Country:US
Mailing Address - Phone:217-430-4498
Mailing Address - Fax:309-776-4349
Practice Address - Street 1:134 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681-1420
Practice Address - Country:US
Practice Address - Phone:217-430-4498
Practice Address - Fax:309-776-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health