MEDICARE: GRACEFUL EMPOWERMENT FAMILY COUNSELING

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1992651988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEFUL EMPOWERMENT FAMILY COUNSELING

Provider Business Mailing Address
First Line	:	1720 OAK VILLAGE BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-7947
Country	:	US
Telephone Number	:	817-681-4458
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 OAK VILLAGE BLVD STE 200
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-7947
Country	:	US
Telephone Number	:	817-681-4458
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYA MINOR
Credential	:	LCSW
Telephone Number	:	817-681-4458

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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