Provider Demographics
NPI:1801260930
Name:JONES, GRACE A (MMFT, LMFT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:A
Other - Last Name:CROSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMFT, LMFT
Mailing Address - Street 1:28 PARKWAY COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5213
Mailing Address - Country:US
Mailing Address - Phone:864-990-5617
Mailing Address - Fax:864-879-4303
Practice Address - Street 1:28 PARKWAY COMMONS WAY
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5213
Practice Address - Country:US
Practice Address - Phone:864-990-5617
Practice Address - Fax:864-879-4303
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6005106H00000X
SC4646106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist