Gracefully Centered, LLC

NPI #1407458490 in Augusta, Georgia

Provider Information

NPI Number: 1407458490
Entity Type: Organization
Organization Name: Gracefully Centered, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 13, 2020
Last Updated: Nov 13, 2020

Practice Location

Address: 2826 HILLCREEK DR
City: Augusta
State: Georgia
ZIP Code: 30909-5628
Phone: (706) 210-2767

Authorized Official

Name: ASHLEY MADDOX-WASINGTON, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (951) 956-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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