Provider Demographics
NPI:1932096732
Name:FRALEY, WILLIAM GRANT (CSA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GRANT
Last Name:FRALEY
Suffix:
Gender:X
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 782
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-0782
Mailing Address - Country:US
Mailing Address - Phone:859-497-0594
Mailing Address - Fax:859-432-1025
Practice Address - Street 1:205 N MAYSVILLE ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1149
Practice Address - Country:US
Practice Address - Phone:859-497-0594
Practice Address - Fax:859-432-1025
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator