BEAUTIFULLY GRACED LLC NPI 1811617863

NPI Information

  • NPI: 1811617863
  • Provider Name: BEAUTIFULLY GRACED LLC
  • Classification: Health and Wellness Coach - 171400000X
  • Entity Type: Organization
  • Address: 2155 PALM BAY RD NE STE 7
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 220-0862

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NPI Details

BEAUTIFULLY GRACED LLC is a health and wellness coach in Palm Bay, FL. The provider is the Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach. BEAUTIFULLY GRACED LLC NPI is 1811617863. The provider is registered as an organization entity type.

The provider's business location address is:

2155 PALM BAY RD NE STE 7
PALM BAY, FL
ZIP 32905-907
Phone: (321) 220-0862

The provider's authorized official is Stephanie Denise Jernighan .
The authorized official title is Founder and has the following contact phone number (321) 220-0862.

The enumeration date for this NPI number is 8/30/2022 and was last updated on 1/11/2024.

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
1252Y00000XEarly Intervention Provider AgencyNo
2171400000XHealth and Wellness CoachYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CL1284556OTHERFLORIDACOSMETOLOGY LICENSE

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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