Grace Success Academy

Primary specialty

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

Legal business name

GRACE SUCCESS ACADEMY

Practice address

420 NW 5TH Ave
Florida City, FL 33034-3339

Phone

(786) 650-7603

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Tina Maria Meadows, CERTIFIED TEACHER

Title

Director

Phone

(786) 650-7603

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1932780202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NW 5TH AVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343339",
            "telephone_number": "786-650-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NW 5TH AVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343339",
            "telephone_number": "786-650-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE SUCCESS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-650-7603",
        "authorized_official_credential": "CERTIFIED TEACHER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "graceinstruction@gmail.com",
            "affiliation": "N",
            "endpointDescription": "https://securecontact.me/graceinstruction%40gmail.com",
            "address_1": "420 NW 5th Ave",
            "city": "Florida City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330343339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida City, FL
• Providers in Florida City, 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 Apr 19, 2021; 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.