NPI 1134825128
Courtney Grace Way, LCATRDTLLPCNCC
Practice location
- Address
- 721 W Centre Ave, Portage, MI 49024-5309
- Phone
- (269) 779-7577
- Mailing address
- 1229 Little Dr APT C310, Kalamazoo, MI 49006-6203
Registered specialties (2)
Drama Therapist
Primary
Counselor
Registry record
- NPI
- 1134825128
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Feb 2023
- Record last updated
- 21 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.