Organization
GRACE HARBOR WELLNESS
Active
Organization
GRACE HARBOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUELVOUS PHILLIPS (OWNER)
(984) 222-5056
Entity
Organization
Contact information
Practice address
940 SPRING FOREST RD, GREENVILLE, NC 27834-2124
(984) 222-5056
Mailing address
PO BOX 181, CONETOE, NC 27819-0181
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
08/03/2026
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