Whalio Doctors

NPI 1134825128

Courtney Grace Way, LCATRDTLLPCNCC

Practitioner Drama Therapist Portage, MI

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
Behavioral Health & Social Service Providers Taxonomy 101200000X Licence 002994 (NY)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 6451024762 (MI)

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.