GRACE MEDICAL & WELLNESS CLINIC, LLC – NPI #1609704840
Psychiatry & Neurology
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
GRACE MEDICAL & WELLNESS CLINIC, LLC is a psychiatry & neurologist located in LAUREL, MS. NPPES recently assigned the NPI number 1609704840 to GRACE MEDICAL & WELLNESS CLINIC, LLC on May 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
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 GRACE MEDICAL & WELLNESS CLINIC, LLC below.
NPI Profile for
GRACE MEDICAL & WELLNESS CLINIC, LLC
(about 4 weeks ago)
LAUREL, MS 39440-4357 Phone: (334) 580-0851 Fax:
OWNER
Phone: (334) 580-0851
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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 |
|---|---|---|
| 2084A0401X - Psychiatry & Neurology / Addiction Medicine (Primary) |
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| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
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| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
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| 261QM0850X - Clinic/Center / Adult Mental Health |
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| 261Q00000X - Clinic/Center |
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| 207Q00000X - Family Medicine |
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| 171M00000X - Case Manager/Care Coordinator |
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| 101YM0800X - Counselor / Mental Health |
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.