| Graceli Llc | |
|
529 Seven Bridge Rd Unit 207 East Stroudsburg PA 18301-7608 | |
| (570) 431-3081 | |
| Not Available |
| Full Name | Graceli Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 529 Seven Bridge Rd Unit 207, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Lourna Angelika Charles (THERAPIST/CEO) |
| Authorized Official Contact | 5163057659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceli Llc 6624 Timothy Lake Rd East Stroudsburg PA 18302-8686 Ph: (516) 305-7659 | Graceli Llc 529 Seven Bridge Rd Unit 207 East Stroudsburg PA 18301-7608 Ph: (570) 431-3081 |
| NPI Number | 1093352247 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 12/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093352247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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