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WILLOW GRACE WELLNESS CENTER LLC
NPI 1467020891
Social Worker - Clinical in Vestavia Hills, AL

Active since June 13, 2021
2028 KENTUCKY AVE STE 101&103, VESTAVIA HILLS, AL 35216(205) 613-0764 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willow Grace Wellness Center Llc NPPES

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

WILLOW GRACE WELLNESS CENTER LLC (NPI 1467020891) is a healthcare organization registered as a clinical in Vestavia Hills, Alabama and active in the NPI registry since June 2021. The organization lists Tangie Martin Macon, Therapitst, as its authorized official.

NPPES Registry Identity

NPI1467020891
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW GRACE WELLNESS CENTER LLC
Location Address2028 KENTUCKY AVE STE 101&103Vestavia Hills, AL 35216-1946
Mailing Address2028 Kentucky Ave Ste 101&103Vestavia Hills, AL 35216-1946 · (205) 613-0764
Phone(205) 613-0764
Organization SubpartNo
Authorized OfficialTangie Martin MaconTherapitst · (205) 613-0764
Enumeration DateJune 13, 2021
NPPES CertifiedJune 13, 2021
✔ NPI 1467020891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2028 KENTUCKY AVE STE 101&103, Vestavia Hills, AL 35216
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Other Names 1

Doing Business AsWillow Grace Wellness Center Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Willow Grace Wellness Center LLC's NPI number?

The NPI number for Willow Grace Wellness Center LLC is 1467020891. It was assigned to this organization in the NPPES registry on June 13, 2021.

Where is Willow Grace Wellness Center LLC located?

Willow Grace Wellness Center LLC is located at 2028 Kentucky Ave Ste 101&103, Vestavia Hills, AL 35216. The listed phone number is (205) 613-0764.

What is Willow Grace Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Willow Grace Wellness Center LLC was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.