Gracefully Centered, LLC

Primary specialty

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

Legal business name

GRACEFULLY CENTERED, LLC

Practice address

2826 Hillcreek Dr
Augusta, GA 30909-5628

Phone

(706) 210-2767

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Maddox-Wasington, LPC

Title

Licensed Professional Counselor

Phone

(951) 956-8100

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

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

• Ashley Maddox-Washington

  • Mental Health Counselor
  • Greenwood, SC
  • NPI 1770055220
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1407458490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095628",
            "telephone_number": "706-210-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY CENTERED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "MADDOX-WASINGTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "951-956-8100",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3335",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@newencounterscounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2826 Hillcreek Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309095628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dymond Gowdy, BCBA
• Megan Nicole Gowdy, LCSW
• Travis Tremain Grable, LPC
• Grace a Pilcher,MD LLC
• Grace to Grow Autism Therapy Center LLC
• Graciously Clean
• Austin M Graf, MD
• Jordan Taylor Graff, DO
• Kendrall Graham, M.ED CCC-SLP
• Madelyn Granat, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Augusta, GA
• Providers in Augusta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.