Organization
GRACE SPACE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SABRIYA MUTIZE LCMHC (OWNER/THERAPIST)
(704) 274-7356
Entity
Organization
Contact information
Practice address
4004 WALLBROOK DR, MATTHEWS, NC 28105-8704
(704) 247-7356
(704) 452-4430
Mailing address
PO BOX 2003, MATTHEWS, NC 28106-2003
(704) 247-7356
(704) 452-4430
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/14/2025
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