# GRACEFUL HEALTH SERVICES PLLC

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

## Provider details

- **NPI number:** 1780552299
- **Authorized official:** LYNDA O IKEOGU (OWNER)
- **Authorized official phone:** (508) 657-4428

## Contact information

- **Practice address:** 5 CABOT PL, STOUGHTON, MA 02072-4624
- **Practice address phone:** (508) 657-4428
- **Mailing address:** 16 LANCASTER RD, RANDOLPH, MA 02368-4942

## 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:** 10/27/2025
- **Last updated:** 10/27/2025