Badass Grandma Ventures LLC
Organization Active NPI Health & Wellness Coach · Clayton, NC
NPI 1700735156 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1700735156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health & Wellness Coach 171400000X
- Legal business name
- BADASS GRANDMA VENTURES LLC
- Practice address
- 9 Seven Oaks Dr
Clayton, NC 27520-8034 - Phone
- (919) 606-9376
- NPI assigned
- Jan 27, 2026
- Organization subpart
- No
Authorized official
- Name
- Ms. Cynthia Joyce Scarlet Walters, CERTIFIED COACH
- Title
- Ceo
- Phone
- (919) 606-9376
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Badass Grandma Ventures LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach |
171400000X | Yes |
Addresses
Primary practice location
9 Seven Oaks Dr
Clayton, NC 27520-8034
Mailing address
9 Seven Oaks Dr
Clayton, NC 27520-8034
Phone (919) 606-9376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251K00000X | Medicaid | NC |
Other providers in Clayton, NC
- Autism Innovations, LLC
- Amy Huber Aycock
- Ana Eliza Babia
- Nancy Bacher
- Badass Grandma Ventures LLC
- Nika Badiei-Emran
- Daniel Franklin Bagley
- Cecelia Ann Bailey
- Vanessa Bailey
- Jazmine Bakare
All providers in Clayton, NC · Health & Wellness Coach in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.