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General NPI Number Information
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NPI Number | 1376486746
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Entity Type | Organization
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Legal Business Name | GRACEFUL RESILIENCE COUNSELING & COMMUNITY SERVICES, LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 62 WESTWOOD DR
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City | STURBRIDGE
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State | MA
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Zip | 01566-1348
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Country | US
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Telephone | 774-321-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 62 WESTWOOD DR
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City | STURBRIDGE
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State | MA
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Zip | 01566-1348
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Country | US
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Telephone | 774-321-5620
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Fax |
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Authorized Official
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Title or Position | OWNER / SOLE MEMBER
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Name | JOMARIE WATSON MALAVE
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Credential | MSW INTERN
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Telephone | 774-321-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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