Gracefully Centered, Llc
LBN: Gracefully Centered, Llc
Gracefully Centered, Llc is an health care organization with primary practice located at 2826 Hillcreek Dr , Augusta GA 30909-5628. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Gracefully Centered, Llc can be contacted via phone (706) 210-2767, or through Maddox-Wasington, Ashley via phone (951) 956-8100.
Contact Information
Primary practice address
2826 Hillcreek Dr
Augusta GA 30909-5628
Phone: (706) 210-2767
Fax:
Website:
Authorized official contact:
Name: Maddox-Wasington, Ashley Licensed Professional Counselor (LPC)
Phone: (951) 956-8100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1407458490 |
|---|---|
| LBN Legal business name | Gracefully Centered, Llc |
| DBA Doing business as | |
| Authorized official | Maddox-Wasington, Ashley Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2020 |
| Last updated | Nov 13th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407458490 | NPPES |
| South Carolina | Other | 3335 | MEDICARE |
| South Carolina | MEDICAID | 421504 | MEDICARE |
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