Provider Demographics
NPI:1760204770
Name:GRIT AND GRACE COUNSELING GROUP
Entity type:Organization
Organization Name:GRIT AND GRACE COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-668-3285
Mailing Address - Street 1:8617 LOMBARDY LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-2400
Mailing Address - Country:US
Mailing Address - Phone:609-668-3285
Mailing Address - Fax:
Practice Address - Street 1:1703 BELLE VIEW BLVD APT B2
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22307-6725
Practice Address - Country:US
Practice Address - Phone:609-668-3285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1932789740OtherAMY LEHMAN