# MG WELLNESS CONNECT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235965963
- **Authorized official:** MS. MICHEALLE GREGORY DNP (ARNP)
- **Authorized official phone:** (360) 932-5865

## Contact information

- **Practice address:** 409 W 32ND ST, VANCOUVER, WA 98660-2159
- **Practice address phone:** (360) 932-5865
- **Mailing address:** 409 W 32ND ST, VANCOUVER, WA 98660-2159
- **Mailing address phone:** (360) 932-5865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 04/20/2026