Provider Demographics
NPI:1255804126
Name:GRIERSON, NATALIE ELIZABETH (MS, LPC, LSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:GRIERSON
Suffix:
Gender:F
Credentials:MS, LPC, LSW
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:E
Other - Last Name:LOVETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, LSW
Mailing Address - Street 1:726 DEVONSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45419-3603
Mailing Address - Country:US
Mailing Address - Phone:937-430-9621
Mailing Address - Fax:
Practice Address - Street 1:305 PUBLIC SQ STE 1
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-3894
Practice Address - Country:US
Practice Address - Phone:937-703-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1801155101YP2500X
OH1600213104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker