# GRACEFUL GROWTH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Graceful Growth Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144065202
- **Authorized official:** MS. MIRIAM BUELL LCMHC (LCMHC/OWNER)
- **Authorized official phone:** (385) 409-0363

## Contact information

- **Practice address:** 66 W VINE ST STE 6, TOOELE, UT 84074-2185
- **Practice address phone:** (801) 928-8980
- **Mailing address:** 657 E 980 N, TOOELE, UT 84074-9833
- **Mailing address phone:** (801) 928-8980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 07/10/2024