Provider Demographics
NPI:1427949106
Name:GRACE CHRISTIAN COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:GRACE CHRISTIAN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-835-7436
Mailing Address - Street 1:10807 FALLS RD UNIT 566
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-7522
Mailing Address - Country:US
Mailing Address - Phone:443-835-7436
Mailing Address - Fax:
Practice Address - Street 1:6318 PRINCESS GARDEN PKWY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2935
Practice Address - Country:US
Practice Address - Phone:443-835-7436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health