Wells of Life Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLS OF LIFE COUNSELING LLC

Practice address

10536 Auto Mall Pkwy Ste B
Diberville, MS 39540-3742

Phone

(985) 260-1914

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Gretchen P. Petrie, LPC

Title

Ceo

Phone

(985) 260-1914

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.

• Gretchen Petrie Graff, M.A., LPC

  • Professional Counselor
  • Diberville, MS
  • NPI 1689097123
  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1124806344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704520267",
            "telephone_number": "504-329-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 AUTO MALL PKWY STE B",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403742",
            "telephone_number": "985-260-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36108 Vinson Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl River",
            "state": "LA",
            "postal_code": "704525802",
            "country_code": "US",
            "telephone_number": "985-260-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLS OF LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-260-1914",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Katlynn Nicole Walker
• Kay Ward, RN
• Kelsi Weaver
• Kristin Rhea Webb, BCBA
• Shannon G Whitaker, RPH
• Leslie Michelle White, ED.S
• Kelcie Wilding
• Teri Ann Williamson, LPTA
• Aimee M Wilson, PH.D.

• Professional Counselor in Diberville, MS
• Providers in Diberville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.