Grace From Darkness, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MH13131 Issued in FL

Legal business name

GRACE FROM DARKNESS, PLLC

Practice address

1515 N University Dr Ste 102a
Coral Springs, FL 33071-6083

Phone

(718) 872-8456

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Deyanira Baldera, LMHCNPI 1497110985

Title

Licensed Mental Health Counselor

Phone

(718) 872-8456

Specialties & licenses 5

Addresses

Other names 1

• Deyanira Baldera Former legal business name

Practitioners 1

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

• Deyanira Baldera, MS

  • Mental Health Counselor
  • Coral Springs, FL
  • NPI 1497110985
  NPD Authorized official

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1407359045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716096",
            "telephone_number": "718-872-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR STE 102A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716083",
            "telephone_number": "718-872-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FROM DARKNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BALDERA",
        "authorized_official_first_name": "DEYANIRA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "718-872-8456",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH13131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH13131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13131",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH13131",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH13131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deyanira Baldera",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Benjamin Graber, M.D.
• Jane Grabosky
• Saul Grabosky, RPH
• Grace Cimino-Braunstein, L.M.H.C., P.a.
• Grace Counseling, Inc.
• Cynthia Agatha Graham-Clark, COTA
• Kethlin Bach Graham
• Samantha Grandson
• Sean Ryan Grange, PHARM D
• Sabrina Marie Sanchez Graves

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.