Marissa Charlett Grace, LPC, NCC, PMH-C
Counselor, Mental Health in Savannah, GA. Individual provider (NPI-1).
NPI number1124699731
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1124699731
- Entity type
- Individual (NPI-1)
- Name
- Marissa Charlett Grace
- Credential
- LPC, NCC, PMH-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2021
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC014137 | GA | Yes |
| 374J00000X | Doula | – | – |
Practice location
37 W Fairmont Ave Ste 320Savannah, GA 31406-3458
Phone 850-217-4417
Mailing address
Po Box 1431Pooler, GA 31322-1277
Phone 850-217-4417
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