| Graceful Growth Therapy LLC | |
|
777 W Jackson St Marshfield MO 65706-2218 | |
| (417) 353-9336 | |
| (417) 459-4897 |
| Full Name | Graceful Growth Therapy LLC |
|---|---|
| Speciality | Counselor |
| Location | 777 W Jackson St, Marshfield, Missouri |
| Authorized Official Name and Position | Kara Heape (OWNER) |
| Authorized Official Contact | 4172342756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Growth Therapy LLC 3493 State Highway J Marshfield MO 65706-8926 Ph: (417) 343-6538 | Graceful Growth Therapy LLC 777 W Jackson St Marshfield MO 65706-2218 Ph: (417) 353-9336 |
| NPI Number | 1528822418 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Medicare PECOS PAC ID | 3870088636 |
|---|---|
| Medicare Enrollment ID | O20251218003216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528822418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Kara Heape |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215695820 PECOS PAC ID: 4789179540 Enrollment ID: I20251218003451 |
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