Provider Demographics
NPI:1891586889
Name:GRACIOUS GUIDANCE LLC
Entity type:Organization
Organization Name:GRACIOUS GUIDANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-246-6470
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18016-0187
Mailing Address - Country:US
Mailing Address - Phone:484-246-6470
Mailing Address - Fax:484-318-2173
Practice Address - Street 1:2717 BETHLEHEM FIELDS WAY
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-9539
Practice Address - Country:US
Practice Address - Phone:484-246-6470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty