Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY GRACE WAY, LCAT, RDT, LLPC, NCC
Active Sole ProprietorCOURTNEY GRACE WAY, LCAT, RDT, LLPC, NCC is a 101200000X healthcare provider located in PORTAGE, Michigan. NPI 1134825128 is currently active in the NPPES registry. Verify at CMS.
101200000X · PORTAGE, MI
Registration Details
- NPI Number
- 1134825128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2023 (3.575084871152 yrs)
- Last Updated
- Feb 21, 2026
- Licenses
-
002994 (NY)6451024762 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 W CENTRE AVEPORTAGE, MI, 490245309Browse MI providers · Browse ZIP 49024
- Phone
- 2697797577
- Primary Specialty
-
101200000X
101200000X
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.