Provider Demographics
NPI:1013806181
Name:GRACE & GROWTH, LLC
Entity type:Organization
Organization Name:GRACE & GROWTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUANGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-228-9658
Mailing Address - Street 1:275 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-8046
Mailing Address - Country:US
Mailing Address - Phone:949-228-9658
Mailing Address - Fax:
Practice Address - Street 1:58 PARKWAY COMMONS WAY
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5213
Practice Address - Country:US
Practice Address - Phone:949-228-9658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health