ANISA D GRANTHAM LPC NCAC NPI 1619014255

NPI Information

  • NPI: 1619014255
  • Provider Name: ANISA D GRANTHAM, LPC, NCAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 613 TOWNE PARK DR W STE 103
    RINCON, GA
    ZIP 31326
  • Phone: (912) 826-0918

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NPI Details

Anisa D Grantham, LPC, NCAC is a professional counselor in Rincon, GA. Anisa D Grantham, LPC, NCAC NPI is 1619014255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

613 TOWNE PARK DR W STE 103
RINCON, GA
ZIP 31326-098
Phone: (912) 826-0918
Fax: (912) 826-0959

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)GEORGIANo
2101YP2500XCounselorProfessional004189GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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