Willow Grace Wellness Center Llc

LBN: Willow Grace Wellness Center Llc
Willow Grace Wellness Center Llc is an health care organization with primary practice located at 2028 Kentucky Ave Ste 101&103 , Vestavia Hills AL 35216-1946. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Willow Grace Wellness Center Llc can be contacted via phone (205) 613-0764, or through Macon, Tangie Martin via phone (205) 613-0764.

Contact Information

Primary practice address
2028 Kentucky Ave Ste 101&103 Vestavia Hills AL 35216-1946
Phone: (205) 613-0764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Macon, Tangie Martin MSW, LICSW, PIP
Phone: (205) 613-0764

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1467020891
LBN Legal business name Willow Grace Wellness Center Llc
DBA Doing business as
Authorized official Macon, Tangie Martin MSW, LICSW, PIP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2021
Last updated Jun 13th, 2021 - 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.

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