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Organization
GRACE HOPE COUNSELING OF FLORIDA, PLLC
Active
Organization
GRACE HOPE COUNSELING OF FLORIDA, PLLC
Active
Other names
Grace Counseling Services of Winter Haven, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAKITA WATKINS SCOTT LCSW, MSW, MA (EXECUTIVE CLINICAL DIRECTOR)
(863) 662-4191
Entity
Organization
Contact information
Practice address
99 6TH ST SW STE 101, WINTER HAVEN, FL 33880-7902
(863) 662-4191
(863) 588-3152
Mailing address
111 W CENTRAL AVE # 956, WINTER HAVEN, FL 33880-8001
(863) 210-9473
(863) 588-3152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326315979
LCSW
FL
Enumeration date
10/10/2019
Last updated
06/05/2023
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