Provider Demographics
NPI:1154210961
Name:GRAVES, DANICA SIMONE
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:SIMONE
Last Name:GRAVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 N NC HIGHWAY 49 LOT B
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-9491
Mailing Address - Country:US
Mailing Address - Phone:336-512-2627
Mailing Address - Fax:
Practice Address - Street 1:3335 N NC HIGHWAY 49 LOT B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-9491
Practice Address - Country:US
Practice Address - Phone:336-512-2627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health