Organization
GRACEFULLY BROKEN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MICHELLE HILL LCSW (MANAGING MEMBER)
(346) 669-0687
Entity
Organization
Contact information
Practice address
11200 BROADWAY ST APT 2305, PEARLAND, TX 77584-0136
(346) 669-0687
Mailing address
11200 BROADWAY ST APT 2305, PEARLAND, TX 77584-0136
(346) 669-0687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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