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

The Grace Space Counseling and Wellness LLC

Organization Professional Counselor · NPI 1750251112

The Grace Space Counseling and Wellness LLC is a Professional Counselor in Atlanta, Georgia. Registered with an NPI since 2025.

In the registry since
2025
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

1933 Shawn Wayne Cir SE
Atlanta, GA 30316
Phone: (470) 632-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1750251112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official De'Leon Martin — Owner · (470) 632-4799
NPI enumeratedNovember 10, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695

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