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

Laurel Grace Mental Health and Wellness

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1154024966

Laurel Grace Mental Health and Wellness is a Psychiatric/Mental Health Nurse Practitioner in Thonotosassa, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

9614 Troncais Cir
Thonotosassa, FL 33592-3412
Phone: (612) 388-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1154024966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lalencia Matthews — Ceo · (612) 388-4661
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing address9614 Troncais Cir, Thonotosassa, FL 33592-3412

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