Provider Demographics
NPI:1588450746
Name:GRAFTON, TONYA MICHELLE
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:MICHELLE
Last Name:GRAFTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7805 LAKE WALK WAY SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-5213
Mailing Address - Country:US
Mailing Address - Phone:864-979-2397
Mailing Address - Fax:864-979-2397
Practice Address - Street 1:120 W DUBLIN DR STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3157
Practice Address - Country:US
Practice Address - Phone:256-929-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6754G101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health