# GRACEFUL HARMONY MEDSPA & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114863594
- **Authorized official:** TABIA HOLMES APRN-C (NURSE PRACTITIONER)
- **Authorized official phone:** (854) 444-9552

## Contact information

- **Practice address:** 7301 RIVERS AVE STE 182, NORTH CHARLESTON, SC 29406-4650
- **Practice address phone:** (843) 225-5760
- **Mailing address:** 7301 RIVERS AVE STE 182, NORTH CHARLESTON, SC 29406-4650
- **Mailing address phone:** (843) 225-5760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026