# GRACE & PEACE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONSTANT ELEVATION, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902297849
- **Legal business name:** CONSTANT ELEVATION, LLC
- **Authorized official:** MR. DEMARCO FELICIANO ODOM (CEO)
- **Authorized official phone:** (336) 437-4117

## Contact information

- **Practice address:** 421 W 26TH ST, WINSTON SALEM, NC 27105-5016
- **Practice address phone:** (336) 437-4117
- **Practice address fax:** (336) 217-8517
- **Mailing address:** 421 W 26TH ST, WINSTON SALEM, NC 27105-5016
- **Mailing address phone:** (336) 437-4117
- **Mailing address fax:** (336) 217-8517

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015