GLORY AND GRACE COLLECTIVE
NPI 1194612770
Counselor - Professional in Texarkana, AR
Active since June 18, 2025
About Glory And Grace Collective NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLORY AND GRACE COLLECTIVE (NPI 1194612770) is a healthcare organization registered as a professional in Texarkana, Arkansas and active in the NPI registry since June 2025. The organization lists Whitney Jackson, Owner, as its authorized official.
NPPES Registry Identity
NPI1194612770
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGLORY AND GRACE COLLECTIVE
Location Address4600 COUNTY AVETexarkana, AR 71854-1410
Mailing Address4600 County AveTexarkana, AR 71854-1410 · (903) 701-2212
Phone(903) 701-2212
Organization SubpartNo
Authorized OfficialWhitney JacksonOwner · (903) 701-2212
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1194612770 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4600 COUNTY AVE, Texarkana, AR 71854
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Intermediate Care Facility, Intellectual Disabilities
4600 COUNTY AVE
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194612770, enumerated as an "organization" on June 18, 2025.
The provider is located at 4600 COUNTY AVE TEXARKANA, AR 71854 and the phone number is (903) 701-2212.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
