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FRAXINE GRAVES IDD WAIVER SERVICES
NPI 1851016299
Day Training/Habilitation Specialist in Gulfport, MS

Active since October 07, 2022
1110 42ND AVE, GULFPORT, MS 39501(228) 284-5540(228) 284-5685 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fraxine Graves Idd Waiver Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRAXINE GRAVES IDD WAIVER SERVICES (NPI 1851016299) is an individual day training/habilitation specialist in Gulfport, Mississippi and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1851016299
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameFRAXINE GRAVESCredential: IDD WAIVER SERVICES
Location Address1110 42ND AVEGulfport, MS 39501-2663
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(228) 284-5540
Fax(228) 284-5685
Sole ProprietorNo
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1851016299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1110 42ND AVE, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE S CALLOWAY
Counselor
1110 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 284-5525
JAVIER SARDIN IDD WAIVER SERVICES
Day Training/Habilitation Specialist
1110 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 284-5525
JOYCE HOWARD IDD WAIVER SERVICES
Day Training/Habilitation Specialist
1110 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 284-5525
GULF COAST MENTAL HEALTH CENTER
Psychologist (Intellectual and Developmental Disabilities)
1110 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 868-2072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fraxine Graves's NPI number?

The NPI number for Fraxine Graves is 1851016299. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Fraxine Graves located?

Fraxine Graves practices at 1110 42nd Ave, Gulfport, MS 39501. The listed phone number is (228) 284-5540.

What is Fraxine Graves's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Fraxine Graves was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.