Grace Behavioral Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACE BEHAVIORAL HEALTH PLLC

Practice address

829 Foxcroft Dr
Fayetteville, NC 28311-9391

Phone

(910) 615-3387

NPI assigned

Mar 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica FleishmanNPI 1679288260

Title

Owner

Phone

(910) 615-3387

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Wood Fleishman

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1679288260
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1194585174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FOXCROFT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119391",
            "telephone_number": "910-615-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FOXCROFT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119391",
            "telephone_number": "910-615-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FLEISHMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-615-3387"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gouterman, CP
• Paige Gover, OTR
• Kelsey Marie Graber
• Grace & Empathy Collective
• Grace and Mercy Healthcare Services Incorporated
• Grace Care Inc.
• Graceful Aging,PC
• Graceland Manor & Associates, Inc
• Gracepoint Behavior Consulting LLC
• Averi Jordan Grady Brown, PA-C

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.