Provider Demographics
NPI:1841013844
Name:GRACE AND GROWTH COUNSELING LLC
Entity type:Organization
Organization Name:GRACE AND GROWTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-929-0532
Mailing Address - Street 1:10180 DAVIES ST
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-8277
Mailing Address - Country:US
Mailing Address - Phone:503-929-0532
Mailing Address - Fax:
Practice Address - Street 1:2040 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6707
Practice Address - Country:US
Practice Address - Phone:208-615-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health