=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639092588
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GRACIA LAUREN SIKES WELLNESS COACH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2026
-----------------------------------------------------
Last Update Date | 07/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 SCHOOL ST
-----------------------------------------------------
City | POINT ARENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-882-2131
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1064
-----------------------------------------------------
City | POINT ARENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95468-1064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number | 403489A001
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------