# GRACEFUL HEALING, PLLC

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

## Provider details

- **NPI number:** 1134011042
- **Authorized official:** CASSANDRA TELLEZ (OWNER)
- **Authorized official phone:** (910) 408-2527

## Contact information

- **Practice address:** 1345 WEST GATE DRIVE, APT 306, LELAND, NC 28451
- **Practice address phone:** (910) 408-2527
- **Mailing address:** 1108 NEW POINTE BLVD STE 130, LELAND, NC 28451-1279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 07/16/2025