Address: 219 56th Place Ne, Washington, DC 20019
Phone: 2029521302

GRACEFULLY FULFILLED COUNSELING AND COACHING SERVICES (NPI# 1568079440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568079440
Entity Type Organization
Practice Address 219 56th Place Ne
DC 20019
Mailing Address 712 H St Ne
DC 20002-3627
Practice Telephone 2029521302
Practice Fax Number 2026842879
Mailing Telephone 2029521302
Mailing Fax Number 2026842879
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Authorized Official Name MS. CHRISTIAN L HOWARD (CEO)
Authorized Official Telephone 4046456289
Authorized Official Credential LPC
Is Organization Subpart Y
Parent Organization Name CL ENTERPRISE, LLC


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC 1003456419 05

Other Provider/Organization Names

Other Name Type Code
Gracefully Fulfilled Counseling and Coaching Services Doing Business As Name - Organization

Office Location

Street Address 219 56TH PLACE NE
State DC
Zip Code 20019

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033735170 Regenia Elizabeth Sayles Home Health Aide 3924 Minnesota Ave Ne Washington, Dc, DC 20019 2020-06-24
1417578733 Alycia Paige Heiner Student in an Organized Health Care Education/Training Program Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 2020-04-27
1598398786 Issa Munu Technician 45th Street Ne, 604, Washington, DC 20019 2020-02-17
1538708391 Chanda Constance Mcmahan Psychologist 3320 Ames St. N.e., Washington, DC 20019 2019-12-27
1215582978 Howard University Clinic/Center 4414-4430 Benning Road, Ne, Washington, DC 20019 2019-08-08
1255985776 Kemba Kelton Technician 3204 1/2 East Capitol Street Nw, Washington, DC 20019 2019-08-01
1659930196 Brittany Deshanta Fleming Counselor 1561 45th St Ne, Washington, DC 20019 2019-06-09
1346701299 Chelsie Esek Speech-Language Pathologist 1234 Singleton Blvd., Washington Dc, DC 20019 2019-03-25
1174081434 Kathleen Estelle Williams Nurse's Aide 12045th Street North East, 613, Washington, DC 20019 2019-03-06
1568939528 Gerri E. Shaw Home Health Aide 3519 Minnesota Ave Se, Apt #101, Washington Dc, DC 20019 2018-10-29
Find all providers in zip 20019

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760084164 Keyona M Fowler Counselor 116 T St Ne Apt 437, Washington, DC 20002-5132 2020-11-10
1952909400 Garrison Dugger Counselor 2502 18th St Se, Washington, DC 20020-3214 2020-10-15
1487260576 Andre Ruth-El Counselor 1725 I St Nw # Dc, Washington, DC 20006-2403 2020-09-23
1093322125 Shannarese Sims Counselor 1615 Franklin St Ne Apt 305, Washington, DC 20018-2041 2020-09-23
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1497367973 Naimah Zakiyyah Saleem Counselor 5205 A St Se, Washington, DC 20019-6434 2020-08-17
1710596473 Aubrey Rainbow Counselor 4005 Wisconsin Ave Nw, Washington, DC 20016-7774 2020-07-29
1225646250 Darneya Latoya Monk Counselor 1514 Fort Davis St Se, Washington, DC 20020-6026 2020-07-15
1841818754 Sarah May Gaudreau Counselor 6604 2nd St Nw, Washington, DC 20012-2130 2020-07-07
1134745219 Joshua White Counselor 2800 Woodley Rd Nw Apt 18, Washington, DC 20008-4163 2020-06-24
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Zip Code 20019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.