Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Abundantly Graced Community Supportive Services Inc

Peer Specialist in Charlotte, NC · enumerated 2025 · authorized official Lastarra Mcdonald, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053275206

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Registry record

Entity type Organization (Type 2)

Legal business name Abundantly Graced Community Supportive Services Inc

Practice address 5736 N Tryon St Ste 125a, Charlotte, NC, 28213

Phone (704) 713-5652

Enumeration date Dec 11, 2025

Last updated in NPPES Mar 11, 2026

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

174200000X Meals Provider Other Service Providers Secondary

175T00000X Peer Specialist Other Service Providers Primary

251B00000X Case Management Agency Agencies Secondary

251E00000X Home Health Agency Agencies Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

253Z00000X In Home Supportive Care Agency Agencies Secondary

372600000X Adult Companion Nursing Service Related Providers Secondary

385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility Secondary

Authorized official

Name Lastarra Mcdonald

Title Ceo

Phone (704) 819-1965

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Abundantly Graced Community Supportive Services Inc located?

The practice location on file with NPPES is in Charlotte, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-11.