Provider Demographics
NPI:1194390864
Name:GRABIL, NANCY ANN (LLPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:GRABIL
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:GRANT
Mailing Address - State:MI
Mailing Address - Zip Code:49327-0077
Mailing Address - Country:US
Mailing Address - Phone:231-303-7090
Mailing Address - Fax:
Practice Address - Street 1:47 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-7129
Practice Address - Country:US
Practice Address - Phone:231-303-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015234101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional