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

Laquisha Gravely

Individual provider Professional Counselor · NPI 1104402650

Laquisha Gravely is a Professional Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

902 S Reilly Rd
Fayetteville, NC 28314-1825
Phone: (910) 491-6356
Fax: (910) 491-8128
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A18128 (NC)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1104402650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2021
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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