Provider Demographics
NPI:1053282228
Name:GRACED BY FAITH LLC
Entity type:Organization
Organization Name:GRACED BY FAITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL ASSOCIATE COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMOURIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:502-217-4282
Mailing Address - Street 1:12635 SE DIVISION ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-3293
Mailing Address - Country:US
Mailing Address - Phone:503-217-4282
Mailing Address - Fax:
Practice Address - Street 1:9 MONROE PKWY STE 250
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8866
Practice Address - Country:US
Practice Address - Phone:503-217-4282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty