NPIMap

Organization Active NPI

Graceful Haven Behavioral Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prosper, TX
National Provider Identifier
1306750435
Registry record updated Sep 28, 2026
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
GRACEFUL HAVEN BEHAVIORAL HEALTH AND WELLNESS LLC
Practice address
291 S Preston Rd Ste 510
Prosper, TX 75078-1907
Phone
(469) 701-1034
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Gertrude NwokorieNPI 1447818638
Title
Administrator
Phone
(469) 701-1034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

291 S Preston Rd Ste 510
Prosper, TX 75078-1907

Mailing address

291 S Preston Rd Ste 510
Prosper, TX 75078-1907
Phone (469) 701-1034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1306750435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 510",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781907",
            "telephone_number": "469-701-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 510",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781907",
            "telephone_number": "469-701-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HAVEN BEHAVIORAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-701-1034"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.