| Gracefully Broken Counseling, Llc | |
|
11200 Broadway St Apt 2305 Pearland TX 77584-0136 | |
| (346) 669-0687 | |
| Not Available |
| Full Name | Gracefully Broken Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11200 Broadway St Apt 2305, Pearland, Texas |
| Authorized Official Name and Position | Shannon Michelle Hill (MANAGING MEMBER) |
| Authorized Official Contact | 3466690687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracefully Broken Counseling, Llc 11200 Broadway St Apt 2305 Pearland TX 77584-0136 Ph: (346) 669-0687 | Gracefully Broken Counseling, Llc 11200 Broadway St Apt 2305 Pearland TX 77584-0136 Ph: (346) 669-0687 |
| NPI Number | 1528820917 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528820917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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