Healthcare Provider Details

I. General information

NPI: 1588450746
Provider Name (Legal Business Name): TONYA MICHELLE GRAFTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W DUBLIN DR STE 202
MADISON AL
35758-3157
US

IV. Provider business mailing address

7805 LAKE WALK WAY SE
OWENS CROSS ROADS AL
35763-5213
US

V. Phone/Fax

Practice location:
  • Phone: 256-929-5507
  • Fax:
Mailing address:
  • Phone: 864-979-2397
  • Fax: 864-979-2397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6754G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: