GRACE HEALING WELLNESS CENTER NPI 1023804861

NPI Information

  • NPI: 1023804861
  • Provider Name: GRACE HEALING WELLNESS CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 8527 RHUDDLAN RD
    NOTTINGHAM, MD
    ZIP 21236
  • Phone: (443) 377-4672

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NPI Details

GRACE HEALING WELLNESS CENTER is a mental health (including community mental health center) clinic center in Nottingham, MD. GRACE HEALING WELLNESS CENTER NPI is 1023804861. The provider is registered as an organization entity type.

The provider's business location address is:

8527 RHUDDLAN RD
NOTTINGHAM, MD
ZIP 21236-623
Phone: (443) 377-4672

The provider's authorized official is Raphael Gikonyo .
The authorized official title is President and has the following contact phone number (443) 377-4672.

The enumeration date for this NPI number is 4/17/2025 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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