Provider Demographics
NPI:1861202327
Name:GRACEFULL SOLUTIONS LLC
Entity type:Organization
Organization Name:GRACEFULL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-631-2732
Mailing Address - Street 1:7075 GOLDEN OAKS LOOP W STE 14
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-9013
Mailing Address - Country:US
Mailing Address - Phone:615-631-2732
Mailing Address - Fax:
Practice Address - Street 1:7075 GOLDEN OAKS LOOP W STE 14
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9013
Practice Address - Country:US
Practice Address - Phone:615-631-2732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)