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

Grace Pettus

Individual provider Mental Health Counselor · NPI 1689542425

Grace Pettus is a Mental Health Counselor in Middletown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

15 Fortune Rd W
Middletown, NY 10941-1625
Phone: (188) 875-0226
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P139398 (NY)

Record details

NPI number1689542425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address15 Fortune Rd W, Middletown, NY 10941-1625

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