# GRACEFUL MINDS PLLC

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

## Provider details

- **NPI number:** 1275487936
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 8154 E KAEL ST, MESA, AZ 85207-2161
- **Practice address phone:** (469) 915-4211
- **Mailing address:** 1666 E OLIVE WAY, SEATTLE, WA 98102-5627
- **Mailing address phone:** (206) 929-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2026
- **Last updated:** 02/20/2026