Organization Active NPI

Lagrace Wellness Center, Inc

  • Mental Health Counselor
  • Winter Haven, FL
National Provider Identifier
1669066767
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAGRACE WELLNESS CENTER, INC
Practice address
634 1St St S
Winter Haven, FL 33880-3603
Phone
(863) 232-7610
Fax
(863) 774-0981
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Geline Lagrace, LMHCNPI 1174868541
Title
Owner
Phone
(407) 414-4353

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

634 1St St S
Winter Haven, FL 33880-3603

Mailing address

634 1St St S
Winter Haven, FL 33880-3603
Phone (863) 232-7610

National Provider Directory

National Provider Directory

Locations

634 1st St S
Winter Haven, FL 33880
Phone (863) 232-7610

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": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1669066767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803603",
            "telephone_number": "863-232-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803603",
            "telephone_number": "863-232-7610",
            "fax_number": "863-774-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRACE WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "LAGRACE",
        "authorized_official_first_name": "GELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-414-4353",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Jun 10, 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.