Provider Demographics
NPI:1285205401
Name:GRACE & HOPE WELLNESS CENTER
Entity Type:Organization
Organization Name:GRACE & HOPE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MENTAL HEALTH COACH
Authorized Official - Phone:337-546-3896
Mailing Address - Street 1:114 LAPLACE AVE
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5561
Mailing Address - Country:US
Mailing Address - Phone:337-546-3896
Mailing Address - Fax:
Practice Address - Street 1:114 LAPLACE AVE
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-5561
Practice Address - Country:US
Practice Address - Phone:337-546-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty