| Graceful Wellness, Pa | |
|
13 Se 21st Pl Cape Coral FL 33990-1437 | |
| (239) 233-3092 | |
| Not Available |
| Full Name | Graceful Wellness, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 13 Se 21st Pl, Cape Coral, Florida |
| Authorized Official Name and Position | Brittany Nelsen (OWNER) |
| Authorized Official Contact | 2392333092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Wellness, Pa 225 Se 31st St Cape Coral FL 33904-3438 Ph: (239) 233-3092 | Graceful Wellness, Pa 13 Se 21st Pl Cape Coral FL 33990-1437 Ph: (239) 233-3092 |
| NPI Number | 1841814654 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841814654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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