Laurel Grace Mental Health and Wellness
NPI #1154024966 in Thonotosassa, Florida
Provider Information
- NPI Number
- 1154024966
- Entity Type
- Organization
- Organization Name
- Laurel Grace Mental Health and Wellness
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 22, 2023
- Last Updated
- Mar 22, 2023
Practice Location
- Address
- 9614 TRONCAIS CIR
- City
- Thonotosassa
- State
- Florida
- ZIP Code
- 33592-3412
- Phone
- (612) 388-4661
Authorized Official
- Name
- LALENCIA L MATTHEWS, MSN
- Title
- CEO
- Phone
- (612) 388-4661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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