| Grace Counseling Services Of Winter Haven, Pllc | |
|
99 6th St Sw Ste 101 Winter Haven FL 33880-7902 | |
| (863) 662-4191 | |
| (863) 588-3152 |
| Full Name | Grace Counseling Services Of Winter Haven, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 99 6th St Sw Ste 101, Winter Haven, Florida |
| Authorized Official Name and Position | Nakita Watkins Scott (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 8636624191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Services Of Winter Haven, Pllc 111 W Central Ave # 956 Winter Haven FL 33880-8001 Ph: (863) 210-9473 | Grace Counseling Services Of Winter Haven, Pllc 99 6th St Sw Ste 101 Winter Haven FL 33880-7902 Ph: (863) 662-4191 |
| NPI Number | 1013559012 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 1850701046 |
|---|---|
| Medicare Enrollment ID | O20201028002906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013559012 | NPI | - | NPPES |
| 1326315979 | Other | FL | LCSW |
| Provider Name | Nakita Watkins Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326315979 PECOS PAC ID: 2769892959 Enrollment ID: I20201028003042 |
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