| Doctor Name: | MICHAEL HALL MCGRADY |
| NPI Number: | 1073882478 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW, LICDC |
| License Number: | 081199 |
| Business Practice Address: | 950 Meadow Dr Suite A Mount Gilead, OH - 433381389 |
| Business Phone Number: | 4199474560 |
| Business Fax Number: | |
| Mailing Address: | 471 State Route 100, BUCYRUS |
| State: | OH |
| Postal Code: | 448209543 |
| Phone Number: | 4199855293 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 09/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 081199 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |