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Organization
GRACEFUL PATHWAYS INC
Active
Organization
GRACEFUL PATHWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI RENEE KLUBNIK LCSW (OWNER/DIRECTOR)
(228) 669-4367
Entity
Organization
Contact information
Practice address
11530 US 49, SUITE E, GULFPORT, MS 39503-3950
(228) 707-2007
Mailing address
4509 JEFFERSON AVE, GULFPORT, MS 39507-4022
(228) 669-4367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
10/25/2022
Last updated
10/02/2026
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