Organization
GRACE IN HEALINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAJNAWATI WIBOWO (CEO)
(682) 215-1691
Entity
Organization
Contact information
Practice address
5301 ALPHA RD STE 80-3, DALLAS, TX 75240-4355
(682) 215-1691
(682) 267-4840
Mailing address
5301 ALPHA RD STE 80-3, DALLAS, TX 75240-4355
(682) 215-1691
(682) 267-4840
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
06/03/2024
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