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Graceful Mind Health Services LLC

Counselor in Mcdonough, GA. Organization (NPI-2).

NPI number1134059306
StatusActive
Last updated in NPPESJul 6, 2026

Details

NPI
1134059306
Entity type
Organization (NPI-2)
Legal business name
Graceful Mind Health Services LLC
Organization subpart
No
Enumeration date
May 20, 2026
Certification date
Jul 6, 2026
Last updated
Jul 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
103T00000X Psychologist––
363L00000X Nurse Practitioner––
103TC1900X Psychologist, Counseling––
364SP0808X Clinical Nurse Specialist, Psych/Mental Health––
104100000X Social Worker––
101YM0800X Counselor, Mental Health––

Practice location

311 Oconee Ct
Mcdonough, GA 30252-7092

Phone 470-575-7950

Mailing address

311 Oconee Ct
Mcdonough, GA 30252-7092

Phone 470-575-7950

Authorized official

Tonya Roberts-Ford
Ceo
4708773873

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