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NPI Code Detail

MEDICARE: GRACE KEALEY

MEDICARE: GRACE KEALEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194651505
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE KEALEY
Provider Business Mailing Address
First Line : 1325 CONNELLSVILLE RD
Second Line :
City : LEMONT FURNACE
State : PA
Zip : 15456-1075
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 CHAFFEE ST
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-4605
Country : US
Telephone Number : 724-437-0729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ GRACE KEALEY ” Practice Location

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