Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRACEFUL WAY COUNSELING, LLC
Active
Organization
GRACEFUL WAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINE MARIE QUIROGA LMHC (CEO)
(561) 571-5501
Entity
Organization
Contact information
Practice address
1035 S STATE ROAD 7 STE 315, WELLINGTON, FL 33414
(561) 571-5501
(561) 791-8039
Mailing address
1035 S STATE ROAD 7 STE 315, WELLINGTON, FL 33414-6137
(561) 571-5501
(561) 791-8039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12300
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014645000
—
FL
Enumeration date
06/20/2016
Last updated
04/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up