# GROWTH AND GRACE THERAPY PLLC

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

## Provider details

- **NPI number:** 1609633148
- **Authorized official:** TRACEY JOHNSON LPC (THERAPIST)
- **Authorized official phone:** (469) 431-4831

## Contact information

- **Practice address:** 2947 MERE LN, GRAND PRAIRIE, TX 75054-0190
- **Practice address phone:** (469) 431-4831
- **Mailing address:** 2947 MERE LN, GRAND PRAIRIE, TX 75054-0190

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/01/2024
