Organization
MG WELLNESS CONNECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHEALLE GREGORY DNP (ARNP)
(360) 932-5865
Entity
Organization
Contact information
Practice address
409 W 32ND ST, VANCOUVER, WA 98660-2159
(360) 932-5865
Mailing address
409 W 32ND ST, VANCOUVER, WA 98660-2159
(360) 932-5865
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
04/20/2026
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