Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Zachary Brock Grisham

Individual provider Professional Counselor · NPI 1184992596

Mr. Zachary Brock Grisham is a Professional Counselor in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011
Specialties on file
2

Practice location Address checks out

17330 Preston Rd Ste 110B
Dallas, TX 75252
Phone: (214) 396-6526
Fax: (972) 250-1701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 68651 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 68651 (TX)

Record details

NPI number1184992596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

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