# GRACE IN HEALINGS PLLC

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

## Provider details

- **NPI number:** 1699557694
- **Authorized official:** PRAJNAWATI WIBOWO (CEO)
- **Authorized official phone:** (682) 215-1691

## Contact information

- **Practice address:** 5301 ALPHA RD STE 80-3, DALLAS, TX 75240-4355
- **Practice address phone:** (682) 215-1691
- **Practice address fax:** (682) 267-4840
- **Mailing address:** 5301 ALPHA RD STE 80-3, DALLAS, TX 75240-4355
- **Mailing address phone:** (682) 215-1691
- **Mailing address fax:** (682) 267-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 06/03/2024