Organization
GRACE MEDICAL & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA NAYLOR (OWNER)
(334) 580-0851
Entity
Organization
Contact information
Practice address
1104 W 1ST ST STE 3, LAUREL, MS 39440-4357
(334) 580-0851
Mailing address
1104 W 1ST ST STE 3, LAUREL, MS 39440-4357
(334) 580-0851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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