Grace Works Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRACE WORKS WELLNESS CENTER LLC

Practice address

4442 N 7TH Ave
Phoenix, AZ 85013-2991

Phone

(623) 308-7962

NPI assigned

May 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin NagbeNPI 1629767686

Title

Manager

Phone

(623) 308-7962

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Nagbe

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1629767686
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1093406977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132991",
            "telephone_number": "623-308-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132991",
            "telephone_number": "623-308-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WORKS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "NAGBE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-308-7962"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Kalt Counseling PLLC
• Grace Medical Supply LLC
• Grace of Serenity Living
• Grace of Serenity Living
• Grace of Serenity Living, Inc
• Amanda Simmons Grace, MD
• Ana Maria Grace, M.D.
• Austin Grace, PA
• R Randall Grace, MD
• Graceful Counseling PLLC

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.