GRACEOL COUNSELING CENTER INC


Address: 1035 Honey Creek Rd Se, Conyers, GA 30013-2948
Phone: 4048392688

GRACEOL COUNSELING CENTER INC (NPI# 1083124762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083124762
Entity Type Organization
Organization Name GRACEOL COUNSELING CENTER INC
Practice Address 1035 Honey Creek Rd Se
Conyers
GA 30013-2948
Practice Telephone 4048392688
Practice Fax Number 7709229498
Mailing Telephone 4048392688
Mailing Fax Number 7709229498
Enumeration Date 2017-10-06
Last Update Date 2018-06-16
Authorized Official Name MS. YEMI JOKE SOWEMIMO (CEO)
Authorized Official Telephone 4048392688
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
RN229849 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA NPI 1639177066 01
NPI 1912016411 01
GA NPI 1790107381 01

Office Location

Street Address 1035 HONEY CREEK RD SE
City CONYERS
State GA
Zip Code 30013-2948

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029054 Darlene Fletcher Counselor 827 St. Clair Dr., Conyers, GA 30094 2020-10-05
1093326217 Shaunda Ayana Jones Counselor 2124 Blueberry Ln, Conyers, GA 30013-1476 2020-08-11
1508484627 Star-jabrea Farrington Counselor 323 Saint Clair Dr, Conyers, GA 30094-4968 2020-07-07
1588138911 Candice Waller Counselor 2856 Bridle Creek Dr Sw, Conyers, GA 30094-5677 2019-01-18
1336636133 Friends In Transformation LLC Counselor 2031 Gees Mill Rd Ne Ste 102, Conyers, GA 30013-1328 2018-04-17
1457853160 Charonda Gardner Counselor 3205 Salem Rd Se, Conyers, GA 30013-5302 2018-03-08
1356851547 Melissa Morgan Counselor 532 Saint Clair Dr, Conyers, GA 30094-4972 2017-10-03
1679091276 Valorie Antoinette Jones Counselor 1175 Green St Se, Conyers, GA 30012 2017-09-02
1225570062 Lakesha Link Counselor 1936 Iris Dr Sw, Conyers, GA 30094-1245 2016-11-10
1346696465 Joyelle Hines Counselor 1229 Royal Dr Sw, Conyers, GA 30094-6630 2016-05-07
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Competitor

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City CONYERS
Zip Code 30013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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