Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Graceful Heart LLC

Organization Community/Behavioral Health Agency · NPI 1477254670

Graceful Heart LLC is a Community/Behavioral Health Agency in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W Glendale Ave Ste 102B
Phoenix, AZ 85021-7621
Phone: (602) 880-0323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1477254670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ibrahim Fofanah — Administrator · (602) 880-0863
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address2401 W Glendale Ave Ste 102b, Phoenix, AZ 85021-7621

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