Organization
GRACEFUL MIND HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA ROBERTS-FORD (MANGER)
(470) 877-3873
Entity
Organization
Contact information
Practice address
311 OCONEE CT, MCDONOUGH, GA 30252-7092
(470) 575-7950
Mailing address
311 OCONEE CT, MCDONOUGH, GA 30252-7092
(470) 575-7950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
363L00000X
Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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