| Carole A. Grady Lpcc | |
|
1570 W Picacho Ave Las Cruces NM 88005-2375 | |
| (575) 202-7576 | |
| (575) 222-0659 |
| Full Name | Carole A. Grady Lpcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1570 W Picacho Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Carole A Grady (SOLE-PROPRIETER) |
| Authorized Official Contact | 5752027576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole A. Grady Lpcc 145 Roberts Dr Las Cruces NM 88005-3073 Ph: (575) 202-7576 | Carole A. Grady Lpcc 1570 W Picacho Ave Las Cruces NM 88005-2375 Ph: (575) 202-7576 |
| NPI Number | 1922520162 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922520162 | NPI | - | NPPES |
| 59482788 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1944 (New Mexico) | Primary |
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