COREY GRACE WATFORD NPI 1205796125

NPI Information

  • NPI: 1205796125
  • Provider Name: COREY GRACE WATFORD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8753 NW 39TH ST APT 8753
    SUNRISE, FL
    ZIP 33351
  • Phone: (252) 635-7098

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NPI Details

Corey Grace Watford is a mental health counselor in Sunrise, FL. Corey Grace Watford NPI is 1205796125. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8753 NW 39TH ST APT 8753
SUNRISE, FL
ZIP 33351-591
Phone: (252) 635-7098

The enumeration date for this NPI number is 11/13/2025 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMH23126FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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