Grace Space Counseling Center, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRACE SPACE COUNSELING CENTER, PLLC

Practice address

4004 Wallbrook Dr
Matthews, NC 28105-8704

Phone

(704) 247-7356

Fax

(704) 452-4430

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Sabriya Mutize, LCMHCNPI 1356604888

Title

Owner/Therapist

Phone

(704) 274-7356

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.

• Sabriya Kai Mutize, LCMHC, LPC

  • Counselor
  • Matthews, NC
  • NPI 1356604888
  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1326857129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281062003",
            "telephone_number": "704-247-7356",
            "fax_number": "704-452-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 WALLBROOK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058704",
            "telephone_number": "704-247-7356",
            "fax_number": "704-452-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE SPACE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MUTIZE",
        "authorized_official_first_name": "SABRIYA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-274-7356",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyssa Anne Gorelick, MSW, LCSWA
• Laurie O Goss, MD
• Megan Gottlieb, PT
• Adria Goulet, LCSWA
• GPS Transport
• Grace to Win Counseling Services, PLLC
• Caroline Graham
• Neeve Jesse Graham
• Nicholas D Graham, O.D., M.S.
• Virginia Grantham, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Matthews, NC
• Providers in Matthews, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.