GRACE FROM DARKNESS PLLC NPI 1407359045

NPI Information

  • NPI: 1407359045
  • Provider Name: GRACE FROM DARKNESS, PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: DEYANIRA BALDERA
  • Address: 1515 N UNIVERSITY DR STE 102A
    CORAL SPRINGS, FL
    ZIP 33071
  • Phone: (718) 872-8456

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NPI Details

GRACE FROM DARKNESS, PLLC is a mental health (including community mental health center) clinic center in Coral Springs, FL. GRACE FROM DARKNESS, PLLC NPI is 1407359045. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Deyanira Baldera.

The provider's business location address is:

1515 N UNIVERSITY DR STE 102A
CORAL SPRINGS, FL
ZIP 33071-083
Phone: (718) 872-8456

The provider's authorized official is Deyanira Baldera .
The authorized official title is Licensed Mental Health Counselor and has the following contact phone number (718) 872-8456.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 1/18/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)MH13131FLORIDANo
2101YM0800XCounselorMental HealthMH13131FLORIDANo
3101Y00000XCounselorMH13131FLORIDANo
4251B00000XCase ManagementMH13131FLORIDANo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MH13131FLORIDAYes

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

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