Graceful Harmony Medspa Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

GRACEFUL HARMONY MEDSPA INC

Practice address

2850 Ashley Phosphate Rd Ste a
North Charleston, SC 29418-4403

Phone

(843) 817-1744

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Tabia Oni McMullen, NP

Title

Ceo

Phone

(843) 817-1744

Specialties & licenses 3

Addresses

Other names 1

• Graceful Medical Academy Doing business as

Electronic endpoints 1

Tax ID family

Graceful Harmony Medspa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Graceful Harmony Medspa

  • Public Health & General Preventive Medicine Physician
  • North Charleston, SC
  • NPI 1255051132
  NPD tax ID

Locations

Practitioners 1

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

• Tabia Oni Holmes, ACNP

  • Gerontology Nurse Practitioner
  • North Charleston, SC
  • NPI 1316547649

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1396465043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ASHLEY PHOSPHATE RD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294184403",
            "telephone_number": "843-817-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ASHLEY PHOSPHATE RD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294184403",
            "telephone_number": "843-817-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HARMONY MEDSPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "TABIA",
        "authorized_official_middle_name": "ONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-817-1744",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sales@gracefulharmonymedspa.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2850 Ashley Phosphate Rd Ste A",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294184403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Graceful Medical Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Olivia Govan, MA
• Governors Office Continuum of Care
• Graceful Beginnings Home Care Agency LLC
• Graceful Harmony Medspa
• Graceful Harmony Medspa & Wellness LLC
• Graceful Home Care Agency, LLC
• Graceful Living Behavioral Support
• Catherine Grady
• Gemma Grady, RN
• Annalise Graham

• Health & Wellness Coach in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Health & Wellness Coach in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.