GRACEMIND BEHAVIORAL HEALTH SERVICES LLC – NPI #1417809062
Clinic/Center

GRACEMIND BEHAVIORAL HEALTH SERVICES LLC is an AHC clinic located in BOWIE, MD. NPPES has assigned the NPI number 1417809062 to GRACEMIND BEHAVIORAL HEALTH SERVICES LLC on February 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACEMIND BEHAVIORAL HEALTH SERVICES LLC below.

NPI Profile for
GRACEMIND BEHAVIORAL HEALTH SERVICES LLC

NPI Number
1417809062
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACEMIND BEHAVIORAL HEALTH SERVICES LLC
Primary location
9900 NICOL CT W
BOWIE, MD 20721-2960
Phone: (405) 239-4663 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LILIAN KUSONA
PRESIDENT
Phone: (405) 239-4663
Updated
Certification Date
Feb 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.