| Lagrace Wellness Center, Inc | |
|
634 1st St S Winter Haven FL 33880-3603 | |
| (863) 232-7610 | |
| (863) 774-0981 |
| Full Name | Lagrace Wellness Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 634 1st St S, Winter Haven, Florida |
| Authorized Official Name and Position | Geline Lagrace (OWNER) |
| Authorized Official Contact | 4074144353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrace Wellness Center, Inc 634 1st St S Winter Haven FL 33880-3603 Ph: (863) 232-7610 | Lagrace Wellness Center, Inc 634 1st St S Winter Haven FL 33880-3603 Ph: (863) 232-7610 |
| NPI Number | 1669066767 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669066767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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