Organization · Type 2 NPI

Graceful Growth Clinic LLC

Mental Health Counselor · Tooele, UT

NPI number 1144065202 Active

Practice location

66 W Vine St Ste 6
Tooele, UT 84074-2185

Call (801) 928-8980 Map

Mailing address

657 E 980 N
Tooele, UT 84074-9833

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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NPI record

NPI: 1144065202
Entity type: Organization (Type 2)
Issued: Jun 28, 2024
Last updated: Jul 10, 2024
Status: Active

Other names

<unavail>
Graceful Growth Clinic · doing business as
Graceful Growth Clinic · doing business as

Authorized official

Ms. Miriam Buell, LCMHC
Lcmhc/owner
(385) 409-0363

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About NPI 1144065202

Graceful Growth Clinic LLC's National Provider Identifier is 1144065202, issued on Jun 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tooele, UT. The record was last updated on Jul 10, 2024.