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

Graces Room LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1922966746

Graces Room LLC is a Psychiatric/Mental Health Nurse Practitioner in Bowie, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

10216 Indian Summer Ct
Bowie, MD 20721-3178
Phone: (240) 203-7448
Fax: (240) 371-0557
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1922966746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dickson — Owner Of Entity · (240) 203-7448
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address3030 Greenmount Ave Ste 300, Baltimore, MD 21218-6907

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