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GRACES ROOM LLC
NPI 1922966746
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Active since January 12, 2026
10216 INDIAN SUMMER CT, BOWIE, MD 20721(240) 203-7448(240) 371-0557 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Graces Room Llc NPPES

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

GRACES ROOM LLC (NPI 1922966746) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since January 2026. The organization lists Michael Dickson, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1922966746
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRACES ROOM LLC
Location Address10216 INDIAN SUMMER CTBowie, MD 20721-3178
Mailing Address3030 Greenmount Ave Ste 300Baltimore, MD 21218-6907 · (240) 203-7448 · Fax (240) 371-0557
Phone(240) 203-7448
Fax(240) 371-0557
Organization SubpartNo
Authorized OfficialMichael DicksonOwner Of Entity · (240) 203-7448
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1922966746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10216 INDIAN SUMMER CT, Bowie, MD 20721
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Graces Room LLC's NPI number?

The NPI number for Graces Room LLC is 1922966746. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Graces Room LLC located?

Graces Room LLC is located at 10216 Indian Summer Ct, Bowie, MD 20721. The listed phone number is (240) 203-7448.

What is Graces Room LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Graces Room LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.