Grace & Truth Practical Therapy, LLC

Primary specialty

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

Legal business name

GRACE & TRUTH PRACTICAL THERAPY, LLC

Practice address

436 McKenna Dr
Winter Haven, FL 33881-9743

Phone

(407) 853-9457

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Jillian Jackson, LCSWNPI 1457672594

Title

Mental Health Therapist

Phone

(407) 853-9457

Specialties & licenses 1

Addresses

Other names 1

• Jillian Jackson, LCSW Other name

Practitioners 1

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

• Jillian J Jackson, LCSW

  • Clinical Social Worker
  • Winter Haven, FL
  • NPI 1457672594
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1902515455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MCKENNA DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819743",
            "telephone_number": "407-853-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MCKENNA DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819743",
            "telephone_number": "407-853-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & TRUTH PRACTICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "407-853-9457",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jillian Jackson, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Good Health Physicians, LLC
• Tarsha Lavon Good, APRN
• Jennifer Goodson, LMHC
• Erik Gordon
• Phillip C. Gordon, M.D.
• Grace Care Ser LLC
• Grace Care Services LLC
• Grace Hope Counseling of Florida, PLLC (Grace Counseling Services of Winter Haven, PLLC)
• Graham Robinson-Farah MD PA
• Amanda Elizabeth Granger-Epps

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winter Haven, FL
• Providers in Winter Haven, 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 Nov 22, 2022; 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.