Organization Active NPI

Graceful Lotus Counseling and Doula Services, LLC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1881476950
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACEFUL LOTUS COUNSELING AND DOULA SERVICES, LLC
Practice address
37 W Fairmont Ave
Savannah, GA 31406-3455
Phone
(921) 656-6739
Fax
(912) 513-3913
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Marissa Charlett Grace, LPC, NCC, PMH-CNPI 1124699731
Title
Therapist
Phone
(850) 217-4417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

37 W Fairmont Ave
Savannah, GA 31406-3455

Mailing address

PO Box 1431
Pooler, GA 31322-1277
Phone (850) 217-4417

Other practice location 1

196 Caribbean Village Dr
Guyton, GA 31312-7511
Phone (850) 217-4417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1881476950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1431",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313221277",
            "telephone_number": "850-217-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063455",
            "telephone_number": "921-656-6739",
            "fax_number": "912-513-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Caribbean Village Dr",
            "address_purpose": "LOCATION",
            "city": "Guyton",
            "state": "GA",
            "postal_code": "313127511",
            "country_code": "US",
            "telephone_number": "850-217-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEFUL LOTUS COUNSELING AND DOULA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "CHARLETT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "850-217-4417",
        "authorized_official_credential": "LPC, NCC, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.