Provider Demographics
NPI:1952457277
Name:GRACE COUNSELING
Entity Type:Organization
Organization Name:GRACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CLINICAL CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FANNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAM
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-884-0758
Mailing Address - Street 1:235 FRENCHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:E GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1816
Mailing Address - Country:US
Mailing Address - Phone:401-884-0758
Mailing Address - Fax:
Practice Address - Street 1:235 FRENCHTOWN RD
Practice Address - Street 2:
Practice Address - City:E GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1816
Practice Address - Country:US
Practice Address - Phone:401-884-0758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 00397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty