Provider Demographics
NPI:1740752047
Name:TRUTH & GRACE COUNSELING
Entity Type:Organization
Organization Name:TRUTH & GRACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HAACK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH
Authorized Official - Phone:605-777-1898
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064-0533
Mailing Address - Country:US
Mailing Address - Phone:605-777-1898
Mailing Address - Fax:605-777-1899
Practice Address - Street 1:125 W 1ST ST
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064-3300
Practice Address - Country:US
Practice Address - Phone:605-777-1898
Practice Address - Fax:605-777-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty