Organization Active NPI

The Graceful Hope Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Haven, FL
National Provider Identifier
1043083439
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE GRACEFUL HOPE FOUNDATION
Practice address
99 6TH St SW Ste 101
Winter Haven, FL 33880-7902
Phone
(863) 662-4076
Fax
(863) 588-3152
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mrs. Nakita W. Scott, LCSWNPI 1326315979
Title
Executive Clinical Director/Pres.
Phone
(863) 662-4076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

99 6TH St SW Ste 101
Winter Haven, FL 33880-7902

Mailing address

111 W Central Ave Unit 956
Winter Haven, FL 33882-7040
Phone (863) 662-4076

National Provider Directory

National Provider Directory

Locations

111 W Central Ave
Unit 956
Winter Haven, FL 33882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1043083439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CENTRAL AVE UNIT 956",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338827040",
            "telephone_number": "863-662-4076",
            "fax_number": "863-588-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 6TH ST SW STE 101",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338807902",
            "telephone_number": "863-662-4076",
            "fax_number": "863-588-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACEFUL HOPE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR/PRES.",
        "authorized_official_telephone_number": "863-662-4076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.