Provider Demographics
NPI:1295240232
Name:DAVID, GRACE (LPC)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 S MAIN ST STE 208
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4768
Mailing Address - Country:US
Mailing Address - Phone:214-580-6059
Mailing Address - Fax:
Practice Address - Street 1:214 S MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4768
Practice Address - Country:US
Practice Address - Phone:214-580-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-13
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health