| Doctor Name: | LORALIE GRIGAS |
| NPI Number: | 1558679639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LCAS, SAE |
| License Number: | C006983 |
| Business Practice Address: | 1328 Lake Park Blvd N Suite 109 Carolina Beach, NC - 284283935 |
| Business Phone Number: | 9106174675 |
| Business Fax Number: | 9104584824 |
| Mailing Address: | 1328 Lake Park Blvd N, Suite 109 CAROLINA BEACH |
| State: | NC |
| Postal Code: | 284283935 |
| Phone Number: | 9106174675 |
| Fax Number: | 9104584824 |
| NPI Enumeration Date: | 09/22/2010 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C006983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |