Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
GRACE SHADE
Active
Individual
GRACE SHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1700642
OH
101Y00000X
Counselor
Primary
E.1901560
OH
Other
Enumeration date
11/07/2017
Last updated
07/17/2023
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