Grady, Carole Anne
Grady, Carole Anne is an individual health care provider with primary practice located at 1570 W Picacho Ave , Las Cruces NM 88005-2375. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grady, Carole Anne can be contacted via phone (575) 202-7576.Contact Information
Primary practice address
1570 W Picacho Ave
Las Cruces NM 88005-2375
Phone: (575) 202-7576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1944 | New Mexico |
Profile Details
| NPI number | 1831326040 |
|---|---|
| LBN Legal business name | Grady, Carole Anne |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831326040 | NPPES |
| New Mexico | MEDICAID | 59482788 |
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