Organization Active NPI

Graceful Haven Behavioral Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1700794559
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GRACEFUL HAVEN BEHAVIORAL HEALTH AND WELLNESS LLC
Practice address
291 S Preston Rd Ste 520
Prosper, TX 75078-1907
Phone
(469) 701-1034
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Gertrude Nwokorie
Title
Director
Phone
(469) 701-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

291 S Preston Rd Ste 520
Prosper, TX 75078-1907

Mailing address

291 S Preston Rd Ste 520
Prosper, TX 75078-1907
Phone (469) 701-1034

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1700794559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 520",
            "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 520",
            "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": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-701-1034"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.