Provider Demographics
NPI:1760958086
Name:EMILY GRADY LPCC LLC
Entity Type:Organization
Organization Name:EMILY GRADY LPCC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:440-941-6004
Mailing Address - Street 1:C/O FRANKLIN CIRCLE CHRISTIAN CHURCH
Mailing Address - Street 2:1688 FULTON ROAD
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113
Mailing Address - Country:US
Mailing Address - Phone:440-724-7555
Mailing Address - Fax:
Practice Address - Street 1:C/O FRANKLIN CIRCLE CHRISTIAN CHURCH
Practice Address - Street 2:1688 FULTON ROAD
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113
Practice Address - Country:US
Practice Address - Phone:440-724-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty