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LAQUISHA GRAVELY
NPI 1104402650
Counselor - Mental Health in Fayetteville, NC

Active since March 23, 2021
902 S REILLY RD, FAYETTEVILLE, NC 28314(910) 491-6356(910) 491-8128 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Mar 23, 2021 (2 updates tracked since 2021).

About Laquisha Gravely NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAQUISHA GRAVELY (NPI 1104402650) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (A18128) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1104402650
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAQUISHA GRAVELY
Location Address902 S REILLY RDFayetteville, NC 28314-1825
Mailing Address101 E 6th AveRaeford, NC 28376-2233 · (803) 446-6661
Phone(910) 491-6356
Fax(910) 491-8128
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1104402650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A18128
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
902 S REILLY RD, Fayetteville, NC 28314
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAPHAZIJA KLARA FULMORE LCSWA
Social Worker (Clinical)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Cumberland County (910) 491-6356
YILANEE RIVERA IRIZARRY
Counselor (Mental Health)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Cumberland County (910) 491-6356
MELODY ROSE FRAZIER
Counselor (Addiction (Substance Use Disorder))
902 S REILLY RD
FAYETTEVILLE, NC 28314
Cumberland County (910) 491-6356
ASHTON SHARITA GILBERT LCSWA
Social Worker (Clinical)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Cumberland County (910) 491-6356
TAYLOR REANN HOMES
Social Worker (Clinical)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Cumberland County (910) 491-6356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laquisha Gravely's NPI number?

The NPI number for Laquisha Gravely is 1104402650. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Laquisha Gravely located?

Laquisha Gravely practices at 902 S Reilly Rd, Fayetteville, NC 28314. The listed phone number is (910) 491-6356.

What is Laquisha Gravely's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Laquisha Gravely was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.