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

Gracewell Behavioral Health PLLC

Organization Nurse Practitioner · NPI 1467399972

Gracewell Behavioral Health PLLC is a Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 W Northern Ave Ste 107
Phoenix, AZ 85021-5400
Phone: (781) 985-1314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1467399972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Nassanga — Director · (781) 985-1314
NPI enumeratedMay 1, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1717 W Northern Ave Ste 107, Phoenix, AZ 85021-5400

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