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Organization

GRACEFUL LOTUS COUNSELING AND DOULA SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA CHARLETT GRACE LPC, NCC, PMH-C (THERAPIST)
(850) 217-4417
Entity
Organization

Contact information

Practice address
37 W FAIRMONT AVE, SAVANNAH, GA 31406-3455
(921) 656-6739
(912) 513-3913
Mailing address
PO BOX 1431, POOLER, GA 31322-1277
(850) 217-4417

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/13/2023
Last updated
06/18/2024
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