Grace Integrated Health & Wellness, Llc

LBN: Grace Integrated Health & Wellness, Llc
Grace Integrated Health & Wellness, Llc is an health care organization with primary practice located at 1000 South Beckham , Tyler TX 75701. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Infusion Therapy, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Grace Integrated Health & Wellness, Llc can be contacted via phone (903) 284-5158, or through Rettig, Jennifer via phone (903) 705-8509.

Contact Information

Primary practice address
1000 South Beckham Tyler TX 75701
Phone: (903) 284-5158
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rettig, Jennifer NURSE PRACTITIONER
Phone: (903) 705-8509

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1184242174
LBN Legal business name Grace Integrated Health & Wellness, Llc
DBA Doing business as
Authorized official Rettig, Jennifer NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2020
Last updated Jul 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184242174 NPPES
Texas MEDICAID NPI1265977144

Popular Providers