Active NPI
Lagrace Wellness Center, Inc
- Mental Health Counselor
- Winter Haven, FL
National Provider Identifier
1669066767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geline Lagrace, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Kissimmee, FL
- NPI 1174868541
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.