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Organization
GRACE PATH WELLNESS CENTER LLC
Active
Organization
GRACE PATH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCEL GRISARD (OWNER)
(925) 775-8253
Entity
Organization
Contact information
Practice address
1747 TYSONS CENTRAL ST APT 2302, TYSONS, VA 22182-6057
(925) 775-8253
Mailing address
5709 EDGEWOOD AVE, LYNCHBURG, VA 24502-1903
(925) 775-8253
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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