Organization Active NPI

Grace and Wellness Behavioral Health Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Campbellsville, KY
National Provider Identifier
1689510307
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACE AND WELLNESS BEHAVIORAL HEALTH GROUP, LLC
Practice address
16 Arbor LN Apt B
Campbellsville, KY 42718-9036
Phone
(270) 849-5158
NPI assigned
Apr 25, 2026
Last updated
Apr 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Authorized official

Name
Sarah Emily Squires, LPCC, LCADCNPI 1265258602
Title
Founder/Managing Member
Phone
(270) 849-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

16 Arbor LN Apt B
Campbellsville, KY 42718-9036

Mailing address

16 Arbor LN Apt B
Campbellsville, KY 42718-9036
Phone (270) 849-5158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1689510307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARBOR LN APT B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189036",
            "telephone_number": "270-849-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ARBOR LN APT B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189036",
            "telephone_number": "270-849-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND WELLNESS BEHAVIORAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "EMILY",
        "authorized_official_title_or_position": "FOUNDER/MANAGING MEMBER",
        "authorized_official_telephone_number": "270-849-5158",
        "authorized_official_credential": "LPCC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.