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GRACE WELLNESS CENTER LLC
NPI 1457995813
Counselor - Mental Health in Mesa, AZ

Active since October 29, 2019CLIA 03D2318236 · Waiver
3707 E SOUTHERN AVE, MESA, AZ 85206(702) 937-7789 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Jun 11, 2025, Oct 29, 2019 (3 updates tracked since 2019).

About Grace Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE WELLNESS CENTER LLC (NPI 1457995813) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through February 6, 2027, maintains 2 additional practice locations, and lists Johna Dean, Owner, as its authorized official.

NPPES Registry Identity

NPI1457995813
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGRACE WELLNESS CENTER LLC
Location Address3707 E SOUTHERN AVEMesa, AZ 85206-2569
Mailing Address1024 W Owens Ave Ste BLas Vegas, NV 89106-2520 · (702) 937-7789
Phone(702) 937-7789
Organization SubpartNo
Authorized OfficialJohna DeanOwner · (702) 937-7789
Enumeration DateOctober 29, 2019
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1457995813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
3707 E SOUTHERN AVE, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1159 W Broadway Ste 200Salt Lake City, UT 84101-1923 · Phone (702) 937-7789
Location 21815 E Lake Mead BlvdNorth Las Vegas, NV 89030-7187 · Phone (725) 204-6732

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2318236

Gateway Wellness Center · Mesa, AZ
Active · expires Feb 6, 2027
CLIA Number03D2318236
Laboratory TypeOutpatient Treatment Cent
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorJeff Glover
Laboratory Phone(480) 331-5187
Laboratory LocationGateway Wellness Center3707 E Southern Ave Ste 2011, Mesa, AZ 85206
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASSION ON PURPOSE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (517) 908-4109
SCOTT JOSEPH LOMBARDI DDS
Dentist (Dentist Anesthesiologist)
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 459-7456
TELFER ENTERPRISES LLC
Home Health
3707 E SOUTHERN AVE, SUITE 1062
MESA, AZ 85206
Maricopa County (480) 457-8828
CHARLES MATTHEW JASON HARGER
Counselor (Mental Health)
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (623) 738-6737
MISS AUBREY RAE LAIRD LAC
Counselor (Mental Health)
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (928) 238-0156
KRISTINE BRAZZEL PSY.D., LPC
Psychologist (Clinical)
3707 E SOUTHERN AVE, 1008
MESA, AZ 85206
Maricopa County (480) 228-2367
UACHEALTHSERVICES
Community/Behavioral Health
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (832) 382-5205
CROSS COUNTRY CARE INC
In Home Supportive Care
3707 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 696-6420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Wellness Center LLC's NPI number?

The NPI number for Grace Wellness Center LLC is 1457995813. It was assigned to this organization in the NPPES registry on October 29, 2019.

Where is Grace Wellness Center LLC located?

Grace Wellness Center LLC is located at 3707 E Southern Ave, Mesa, AZ 85206. The listed phone number is (702) 937-7789.

What is Grace Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Grace Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2318236) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Wellness Center LLC was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.