Healthcare Provider Details

I. General information

NPI: 1992511422
Provider Name (Legal Business Name): THE GRACE, GRIT & GROWTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 03/08/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7512 S OLYMPIA AVENUE WEST SUITE # 1032
TULSA OK
74132
US

IV. Provider business mailing address

117 S 65TH WEST AVE
TULSA OK
74127-6634
US

V. Phone/Fax

Practice location:
  • Phone: 254-340-4221
  • Fax:
Mailing address:
  • Phone: 479-831-7734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAJEEAH SMITH
Title or Position: THERAPIST - BUSINESS OWNER (CEO)
Credential: LCSW
Phone: 254-340-4221