1. Home
  2. Directory
  3. Mississippi
  4. Laurel
  5. Psychiatry Neurology
  6. NPI Profile

GRACE MEDICAL & WELLNESS CLINIC, LLC
NPI 1609704840
Psychiatry & Neurology - Addiction Medicine in Laurel, MS

Active since May 09, 2026
1104 W 1ST ST STE 3, LAUREL, MS 39440(334) 580-0851 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Medical & Wellness Clinic, Llc NPPES

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

GRACE MEDICAL & WELLNESS CLINIC, LLC (NPI 1609704840) is a healthcare organization registered as an addiction medicine in Laurel, Mississippi and active in the NPI registry since May 2026. The organization lists Tina Naylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1609704840
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameGRACE MEDICAL & WELLNESS CLINIC, LLC
Location Address1104 W 1ST ST STE 3Laurel, MS 39440-4357
Mailing Address1104 W 1st St Ste 3Laurel, MS 39440-4357 · (334) 580-0851
Phone(334) 580-0851
Organization SubpartNo
Authorized OfficialTina NaylorOwner · (334) 580-0851
Enumeration DateMay 9, 2026
NPPES CertifiedMay 9, 2026
✔ NPI 1609704840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1104 W 1ST ST STE 3, Laurel, MS 39440
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Medical & Wellness Clinic, LLC's NPI number?

The NPI number for Grace Medical & Wellness Clinic, LLC is 1609704840. It was assigned to this organization in the NPPES registry on May 9, 2026.

Where is Grace Medical & Wellness Clinic, LLC located?

Grace Medical & Wellness Clinic, LLC is located at 1104 W 1st St Ste 3, Laurel, MS 39440. The listed phone number is (334) 580-0851.

What is Grace Medical & Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Grace Medical & Wellness Clinic, LLC was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.