NPI 1003405978
Graceway Counseling Services LLC
Practice location
- Address
- 744 4th Ave STE 2, Huntington, WV 25701-1541
- Phone
- (304) 691-0873
- Fax
- (304) 955-9057
Authorised official
- Name
- Matthew Maynard
- Title
- Owner
- Phone
- (304) 691-0873
Registered specialties (4)
Family Nurse Practitioner
Primary
Professional Counselor
Community/Behavioral Health Agency
Primary Care Clinic/Center
Registry record
- NPI
- 1003405978
- Entity type
- Organization
- NPI issued
- 14 Jan 2021
- Record last updated
- 5 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.