MRS. DEBORAH STANTON GRACIA L.C.S.W. L.D.C. NPI 1689707390

NPI Information

NPI: 1689707390
Provider Name: MRS. DEBORAH STANTON GRACIA, L.C.S.W., L.D.C.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
101 JORDAN DR
JORDAN PROFESSIONAL BUILDING
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 499-8894
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MRS. Deborah Stanton Gracia, L.C.S.W., L.D.C. is an addiction (substance use disorder) counselor in Chattanooga, TN. MRS. Deborah Stanton Gracia, L.C.S.W., L.D.C. NPI is 1689707390. 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:

101 JORDAN DR
JORDAN PROFESSIONAL BUILDING
CHATTANOOGA, TN
ZIP 37421-732
Phone: (423) 499-8894
Fax: (423) 886-7017

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LDC200	TENNESSEE	Yes
2	1041C0700X	Social Worker	Clinical	TN984	TENNESSEE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0145218	OTHER	TENNESSEE	PIN NUMBER
2	4295328	OTHER	KENTUCKY	PIN NUMBER
3	145218	MEDICAID	FLORIDA
4	3924570	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

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: 11/14/2023

NPI Synchronization or Removal

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