Organization Active NPI

Grace & Wellness Therapeutic Services

  • Counselor
  • Ponchatoula, LA
National Provider Identifier
1780564294
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GRACE & WELLNESS THERAPEUTIC SERVICES
Practice address
626 Cedar LN
Ponchatoula, LA 70454-3908
Phone
(985) 235-0709
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Dr. Gracishone Floyd, PH.D, LPC,NCCNPI 1598382301
Title
Owner
Phone
(504) 333-9635

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

626 Cedar LN
Ponchatoula, LA 70454-3908

Mailing address

1420 W Airline Hwy # 1006
La Place, LA 70068-3723
Phone (985) 307-5486

National Provider Directory

National Provider Directory

Locations

1420 W Airline Hwy
La Place, LA 70068

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": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1780564294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W AIRLINE HWY # 1006",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683723",
            "telephone_number": "985-307-5486",
            "fax_number": "985-202-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CEDAR LN",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543908",
            "telephone_number": "985-235-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & WELLNESS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "GRACISHONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-333-9635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.