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NPI Code Detail

MEDICARE: NATALIE GRADY LPC

MEDICARE: NATALIE GRADY LPC
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
1101YP2500XProfessional Counselor2018032557MO

General Provider Information

NPI Number : 1659854305
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE GRADY LPC
Provider Business Mailing Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number : 816-922-1070
Provider Business Practice Location Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number : 816-922-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 03/18/2026

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