Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Medical & Wellness Clinic, LLC

Organization Mental Health Counselor · NPI 1609704840

Grace Medical & Wellness Clinic, LLC is a Mental Health Counselor in Laurel, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1104 W 1st St Ste 3
Laurel, MS 39440-4357
Phone: (334) 580-0851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Family Medicine Physician Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1609704840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Naylor — Owner · (334) 580-0851
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026
Mailing address1104 W 1st St Ste 3, Laurel, MS 39440-4357

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