GRACE HEALING AND WELLNESS CENTER, LLC.
NPI 1467190694
Psychologist - Clinical in Pewaukee, WI

Q: What is Grace Healing And Wellness Center, LLC.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 26, 2022

N28W23000 ROUNDY DR STE 105, PEWAUKEE, WI 53072(414) 350-6693 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Grace Healing And Wellness Center, Llc. NPPES

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

GRACE HEALING AND WELLNESS CENTER, LLC. (NPI 1467190694) is a healthcare organization registered as a clinical in Pewaukee, Wisconsin and active in the NPI registry since May 2022. The organization lists Angelique Lewis, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1467190694

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGRACE HEALING AND WELLNESS CENTER, LLC.

Location AddressN28W23000 ROUNDY DR STE 105Pewaukee, WI 53072-7300

Mailing AddressN28w23000 Roundy Dr Ste 105Pewaukee, WI 53072-7300 · (414) 350-6693

Phone(414) 350-6693

Organization SubpartNo

Authorized OfficialAngelique LewisPsychologist · (414) 350-6693

Enumeration DateMay 26, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1467190694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

N28W23000 ROUNDY DR STE 105, Pewaukee, WI 53072

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Other Identifiers 1

Medicaid100003219WI

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 Grace Healing And Wellness Center, LLC.'s NPI number?

The NPI number for Grace Healing And Wellness Center, LLC. is 1467190694. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Grace Healing And Wellness Center, LLC. located?

Grace Healing And Wellness Center, LLC. is located at N28w23000 Roundy Dr Ste 105, Pewaukee, WI 53072. The listed phone number is (414) 350-6693.

What is Grace Healing And Wellness Center, LLC.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Grace Healing And Wellness Center, LLC. was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.