# GRACEFUL PATHWAYS INC

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

## Provider details

- **NPI number:** 1912624495
- **Authorized official:** JODI RENEE KLUBNIK LCSW (OWNER/DIRECTOR)
- **Authorized official phone:** (228) 669-4367

## Contact information

- **Practice address:** 11530 US 49, SUITE E, GULFPORT, MS 39503-3950
- **Practice address phone:** (228) 707-2007
- **Mailing address:** 4509 JEFFERSON AVE, GULFPORT, MS 39507-4022
- **Mailing address phone:** (228) 669-4367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 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