Provider Demographics
NPI:1720972466
Name:AMAZING GRACE COACHING & COUNSELING LLC
Entity type:Organization
Organization Name:AMAZING GRACE COACHING & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARSLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:320-441-9226
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:MN
Mailing Address - Zip Code:56273-0243
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25200 50TH ST NE
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MN
Practice Address - Zip Code:56312-9134
Practice Address - Country:US
Practice Address - Phone:320-429-1735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health