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Organization

JGRAVES THERAPY PLLC

Active
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Organization

JGRAVES THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA GRAVESMILL LCSW (OWNER)
(512) 773-8373
Entity
Organization

Contact information

Practice address
5629 FM 1960 RD W STE 218, HOUSTON, TX 77069-4215
(832) 232-3332
Mailing address
11907 RIBBON FALLS DR, TOMBALL, TX 77375-3363

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699947937
OWNER NPI
TX
01
—
19051
CLINICAL SOCIAL WORKER LICENSE
TX
Enumeration date
02/04/2025
Last updated
03/04/2025
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