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Contact Information

GRACEFUL HEALING, PLLC
1345 WEST GATE DRIVE
APT 306
LELAND, NC28451
 Phone: 910-408-2527
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for GRACEFUL HEALING, PLLC

NPI Number 1134011042
LBN Legal business name GRACEFUL HEALING, PLLC
Authorized official CASSANDRA TELLEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2025
Last updated 07/16/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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