Corey Grace Watford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH23126 Issued in FL

Practice address

8753 NW 39TH St Apt 8753
Sunrise, FL 33351-6591

Phone

(252) 635-7098

NPI assigned

Nov 13, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1205796125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GRIFFIN RD FL 2",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144416",
            "telephone_number": "954-341-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 NW 39TH ST APT 8753",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516591",
            "telephone_number": "252-635-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Griffin Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333144416",
            "country_code": "US",
            "telephone_number": "954-341-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "COREY",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Warren, PTA
• Patrick N. Warren, CRNA
• Ivory Washington
• Jerome Washington, L.M.H.C.
• Luz Waterston
• Raquel Watkins
• Wendy Watkins
• Watson Avenue Dura Med (DME on Wheels)
• Katrina H. Watson, CRNA
• Richard Lee Wayne, MD

• Mental Health Counselor in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.