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NPI Code Detail

MEDICARE: GRACIE MCCARROLL, PLLC

MEDICARE: GRACIE MCCARROLL, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1497302921
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACIE MCCARROLL, PLLC
Provider Business Mailing Address
First Line : 4801 GLENWOOD AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27612-3857
Country : US
Telephone Number : 828-989-7022
Fax Number :
Provider Business Practice Location Address
First Line : 4801 GLENWOOD AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27612-3857
Country : US
Telephone Number : 828-989-7022
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GRACIE L MCCARROLL
Credential : LCMHC
Telephone Number : 828-989-7022
Provider Enumeration Date : 08/20/2019
Last Update Date : 10/30/2025

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Directions to “GRACIE MCCARROLL, PLLC ” Practice Location

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