| Graceful Growth Clinic | |
|
66 W Vine St Ste 6 Tooele UT 84074-2185 | |
| (801) 928-8980 | |
| Not Available |
| Full Name | Graceful Growth Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 66 W Vine St Ste 6, Tooele, Utah |
| Authorized Official Name and Position | Miriam Buell (LCMHC/OWNER) |
| Authorized Official Contact | 3854090363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Growth Clinic 657 E 980 N Tooele UT 84074-9833 Ph: (801) 928-8980 | Graceful Growth Clinic 66 W Vine St Ste 6 Tooele UT 84074-2185 Ph: (801) 928-8980 |
| NPI Number | 1144065202 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144065202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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