# GRACEWAY SERVICES, PC

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

## Provider details

- **NPI number:** 1821518382
- **Authorized official:** TONI RAE BETHEA-BYRD LPC , LCAS-A (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (910) 874-0769

## Contact information

- **Practice address:** 12514 NC 242 HWY S, BLADENBORO, NC 28320-6026
- **Practice address phone:** (910) 874-0769
- **Mailing address:** 12514 NC 242 HWY S, BLADENBORO, NC 28320-6026
- **Mailing address phone:** (910) 874-0769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 07/21/2022