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General NPI Number Information
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NPI Number | 1932063567
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Entity Type | Organization
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Legal Business Name | GRACE GIVERS, LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 323 MADISON ST
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-5414
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Country | US
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Telephone | 919-523-0863
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Fax |
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Provider Business Mailing Address
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Address Line | 6069 BEALE LOOP
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City | RALEIGH
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State | NC
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Zip | 27616-3473
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Country | US
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Telephone | 919-523-0863
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATRICE M. PRINGLE
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Credential |
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Telephone | 919-523-0863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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