Healthcare Provider Details

I. General information

NPI: 1891637435
Provider Name (Legal Business Name): GRACE HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 SHIPWASH DR
GARNER NC
27529-6860
US

IV. Provider business mailing address

100 HYDE PARK CT APT N
CARY NC
27513-4259
US

V. Phone/Fax

Practice location:
  • Phone: 919-772-1990
  • Fax:
Mailing address:
  • Phone: 434-265-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number119864
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023602
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: