Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amazing Grace Treatment Center, Inc

Organization Mental Health Counselor · NPI 1043057482

Amazing Grace Treatment Center, Inc is a Mental Health Counselor in Dayton, Ohio. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17 Indiana Ave
Dayton, OH 45410-2307
Phone: (937) 640-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1043057482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyes'A Nelloms — Program Manager · (937) 231-8773
NPI enumeratedJuly 12, 2024
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address17 Indiana Ave, Dayton, OH 45410-2307

Other providers in Dayton