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General NPI Number Information
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NPI Number | 1962380659
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Entity Type | Organization
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Legal Business Name | GRACEPOINT COMMUNITY SERVICES, LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 400 WATAUGA AVE
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City | GREENVILLE
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State | NC
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Zip | 27834-3849
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Country | US
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Telephone | 954-544-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 21 RELICT DR
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City | CLAYTON
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State | NC
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Zip | 27527-6710
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHELSEA DOUGLAS
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Credential |
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Telephone | 954-544-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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