DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. EDIE DIANE GRIZZLE, LPC, LMAC

Active Sole Proprietor

MRS. EDIE DIANE GRIZZLE, LPC, LMAC is a Professional Counselor healthcare provider located in CONCORDIA, Kansas. NPI 1841550183 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CONCORDIA, KS

Registration Details

NPI Number
1841550183
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2012 (14.276065307884 yrs)
Last Updated
Sep 10, 2020
Licenses
020 (KS)
2397 (KS)
Sole Proprietor
Yes

Practice Information

Address
210 W 21ST ST
CONCORDIA, KS, 669015200
Browse KS providers · Browse ZIP 66901
Phone
7852438900
Fax
7852438933
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CONCORDIA, KS

Name Credential NPI
JONATHAN DOMINGUEZ 1295512796
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.