| Gracefully Connected, Llc | |
|
4400 Mccaan Quay Chesapeake VA 23321-4260 | |
| (757) 535-5214 | |
| Not Available |
| Full Name | Gracefully Connected, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4400 Mccaan Quay, Chesapeake, Virginia |
| Authorized Official Name and Position | Tomeika Felicia Taylor (CEO/DIRECTOR) |
| Authorized Official Contact | 7575355057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracefully Connected, Llc 4400 Mccaan Quay Chesapeake VA 23321-4260 Ph: (757) 535-5214 | Gracefully Connected, Llc 4400 Mccaan Quay Chesapeake VA 23321-4260 Ph: (757) 535-5214 |
| NPI Number | 1437932480 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437932480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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