Mountain Grace Women's Wellness Center LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MOUNTAIN GRACE WOMEN'S WELLNESS CENTER LLC

Practice address

201 Merchant St Ste 1
Fairmont, WV 26554-4042

Phone

(304) 504-3994

NPI assigned

Aug 18, 2026

Organization subpart

No

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

Authorized official

Name

Deanne Dyson, FNP-BC

Title

Owner/Provider

Phone

(304) 694-8474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1326953969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 HARBOR DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089227",
            "telephone_number": "304-694-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MERCHANT ST STE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544042",
            "telephone_number": "304-504-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN GRACE WOMEN'S WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "DYSON",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "304-694-8474",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zelda R Morris
• Claire Ashley Morrison, LPC, NCC
• Gentry Ann Morrone
• De Sean Mosley
• Christine Lynn Mott, CFNP
• Mountain River Physical Therapy, LLC
• Mountain State Physical Therapy LLC (Mountain State Physical Therapy)
• Mountaineer Case Management
• Mountaineer Life Enrichment Center, LLC
• Sierra Michelle Mounts

• Adult Medicine Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Adult Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.