Grady, Lisa
Grady, Lisa is an individual health care provider with primary practice located at 2010 Lasalle Ave Suite A, Waco TX 76706. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Grady, Lisa can be contacted via phone (254) 297-7171.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Texas | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Texas |
Profile Details
| NPI number | 1629604186 |
|---|---|
| LBN Legal business name | Grady, Lisa |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2020 |
| Last updated | Mar 17th, 2020 - about 5 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.
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