Grace Haven Home LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

GRACE HAVEN HOME LLC

Practice address

4767 Houston Rd Apt 3113
Florence, KY 41042-4815

Phone

(678) 368-0359

NPI assigned

Feb 11, 2026

Organization subpart

No

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

Authorized official

Name

Lena Brewer

Title

Owner

Phone

(678) 368-0359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1952253163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 HOUSTON RD APT 3113",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424815",
            "telephone_number": "678-368-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 HOUSTON RD APT 3113",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424815",
            "telephone_number": "678-368-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-368-0359"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Nicole Gorlewski, PTA, ATC
• Joseph John Gormley III, DMD
• Joshua Goskowsky, PHARMD
• Brittany Gottschall, M.A.
• Carolina Goyco, DMD
• Shelley Sue Graft, SLP
• Graham Chiropractic Enterprises
• Douglas W Graham, DC
• Jonathan Kern Grainger, MD
• Lauren Elizabeth Grammer, APRN

• Intellectual & Developmental Disabilities Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Intellectual & Developmental Disabilities Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.