Grisham, Gayla Kay

Grisham, Gayla Kay is an sole proprietor health care provider with primary practice located at 421 Villa Drive #209 , Waco TX 76710. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Grisham, Gayla Kay can be contacted via phone (254) 405-2702.

Contact Information

Primary practice address
421 Villa Drive #209 Waco TX 76710
Phone: (254) 405-2702
Fax: (866) 686-9651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 33966 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 33966 Texas
Agencies / Case Management 251B00000X 33966 Texas

Profile Details

NPI number 1114058245
LBN Legal business name Grisham, Gayla Kay
Credentials LBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 20th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114058245 NPPES
Texas MEDICAID 182405401
Texas MEDICAID 182404701

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