Gre Haven Therapy LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRE HAVEN THERAPY LLC

Practice address

1800 SW 27TH Ave Ste 200
Miami, FL 33145-2455

Phone

(786) 409-5618

Fax

(786) 409-5492

NPI assigned

Nov 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Galia Pupo

Title

President

Phone

(786) 307-1352

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1013673789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "786-409-5618",
            "fax_number": "786-409-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "786-409-5618",
            "fax_number": "786-409-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRE HAVEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "GALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-307-1352",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gray
• Vivien Grayson, APRN
• Whisper Grayson, MD
• Donald James Graziano, DC
• Paulo Graziano, PH.D.
• Great Angels ABA LLC
• Great Behavioral Services Corp
• Great Care Pharmacy Inc
• Great Dade Transport Corp
• Great Day Health Services LLC

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.