Sven Lailer Legg-Grady, Ed.S, LPC, NCC
Counselor, Professional in Blairsville, GA. Individual provider (NPI-1).
NPI number1689181786
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1689181786
- Entity type
- Individual (NPI-1)
- Name
- Sven Lailer Legg-Grady
- Credential
- Ed.S, LPC, NCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2018
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
3688 Gainesville HwyBlairsville, GA 30512-6503
Phone 706-250-0415 · Fax 706-487-8498
Mailing address
3688 Gainesville HwyBlairsville, GA 30512-6503
Phone 706-250-0415 · Fax 706-487-8498
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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