Provider Demographics
NPI:1134998305
Name:GROWING GRACEFULLY COUNSELING AND CONSULTING, PLLC
Entity type:Organization
Organization Name:GROWING GRACEFULLY COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALEEA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PMHNP-BC
Authorized Official - Phone:980-285-2993
Mailing Address - Street 1:2510 SILVERBELL LN NW APT 3210
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3744
Mailing Address - Country:US
Mailing Address - Phone:803-429-0300
Mailing Address - Fax:
Practice Address - Street 1:57 UNION ST S # 1034
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5009
Practice Address - Country:US
Practice Address - Phone:980-285-2993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty