Gayla Kay Grisham is a Clinical in Waco, Texas. Gayla Kay Grisham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gayla Kay Grisham is 1114058245. The last update date is 2007-07-20.
Gayla Kay Grisham's current location address is 421 Villa Drive #209, Waco, Texas. You can contact this provider via phone number 2544052702 and fax number 8666869651. The mailing address for Gayla Kay Grisham is 421 Villa Drive #209, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gayla Kay Grisham |
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Address | 421 Villa Drive #209, Waco, Texas |
Phone Number | 2544052702 |
Fax Number | 8666869651 |
Sole Proprietor | Y |
Credentials | LBSW |
NPI Number Detail
NPI Number | 1114058245 |
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Provider Enumeration Date | 2007-03-08 |
Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
Address | 421 Villa Drive #209 |
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City | Waco |
State | Texas (TX) |
Post Code | 76710 |
Phone Number | 2544052702 |
Fax Number | 8666869651 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 33966 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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182405401 | TX | -- | |
182404701 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gayla Kay Grisham by the Centers for Medicare & Medicaid Services?
The Gayla Kay Grisham has been issued the NPI (National Provider Identifier) 1114058245, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gayla Kay Grisham is located?
The Gayla Kay Grisham is situated at the following address: 421 Villa Drive #209, Waco, TX, 76710.
What is the area of specialization for Gayla Kay Grisham, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gayla Kay Grisham is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Gayla Kay Grisham receive its 1114058245 assignment from the Centers for Medicare & Medicaid Services?
The Gayla Kay Grisham was assigned its 1114058245 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the details pertaining to Gayla Kay Grisham last refreshed?
The information related to the Gayla Kay Grisham, including its address, specialty, and other relevant details, was last updated on 2007-07-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC