Organization
GRATEFUL BEGINNINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHA SHAW (PROGRAM DIRECTOR)
(804) 930-3280
Entity
Organization
Contact information
Practice address
11321 WALTON LAKE RD, DISPUTANTA, VA 23842-4510
(804) 930-3280
Mailing address
11321 WALTON LAKE RD, DISPUTANTA, VA 23842-4510
(804) 930-3280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/26/2023
Last updated
05/21/2025
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