Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Grace Space Counseling and Wellness LLC

Organization Professional Counselor · NPI 1750251112

The Grace Space Counseling and Wellness LLC provides Professional Counselor services 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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