MRS. KRISTEN SHAE GREGORY LICSW NPI 1104371053

NPI Information

NPI: 1104371053
Provider Name: MRS. KRISTEN SHAE GREGORY, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
190 LIME QUARRY RD
MADISON, AL
ZIP 35758
Phone: (256) 270-9483
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MRS. Kristen Shae Gregory, LICSW is a mental health counselor in Madison, AL. MRS. Kristen Shae Gregory, LICSW NPI is 1104371053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 LIME QUARRY RD
MADISON, AL
ZIP 35758
Phone: (256) 270-9483
Fax: (256) 325-0340

The enumeration date for this NPI number is 8/22/2016 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		LSW0000010773	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health	4589C	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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