Organization
GRACE AND GROWTH MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA DAWKINS NP (NURSE PRACTITIONER)
(757) 991-1503
Entity
Organization
Contact information
Practice address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(757) 991-1503
(757) 941-7473
Mailing address
PO BOX 7035, HAMPTON, VA 23666-0035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/07/2025
Last updated
08/05/2025
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