Organization
IBIS HEALTHCARE INC
Active
Parent organization
IBIS HEALTHCARE INC
Other names
Gracepoint
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBIS HEALTHCARE INC
Authorized official
ROAYA TYSON (CEO)
(813) 239-8088
Entity
Organization
Contact information
Practice address
5707 N. 22ND STREET, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060272800
—
FL
05
—
060272801
—
FL
05
—
060272805
—
FL
05
—
060272806
—
FL
05
—
060272815
—
FL
05
—
0827999
—
FL
05
—
21336
—
FL
05
—
227811
—
FL
Enumeration date
12/06/2005
Last updated
01/14/2026
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