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

Graceland Manor & Associates, Inc

Organization Clinical Psychologist · NPI 1821124116

Graceland Manor & Associates, Inc is a Clinical Psychologist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

408 Pelt Dr
Fayetteville, NC 28301-3412
Phone: (910) 322-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary) Taxonomy 320700000X · Licence FCL 026 026 (NC)
Clinical Psychologist Taxonomy 103TC0700X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL 026 655 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL 026 654 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1821124116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elva Colvin — Ceo · (910) 488-8807
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 1, 2010
Mailing addressPo Box 35174, Fayetteville, NC 28303-0174

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