Healthcare Provider Details

I. General information

NPI: 1164338968
Provider Name (Legal Business Name): GRACEPOINT RESTORATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2969 ROLLING LN
WINSTON GA
30187-2148
US

IV. Provider business mailing address

2969 ROLLING LN
WINSTON GA
30187-2148
US

V. Phone/Fax

Practice location:
  • Phone: 678-933-5075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE BARNES
Title or Position: OWNER/MANAGING MEMBER
Credential: MS, LMSW
Phone: 678-933-5075