Granberry, Anthony A
Granberry, Anthony A is an sole proprietor health care provider with primary practice located at 1276 Mcconnell Dr Ste A , Decatur GA 30033-3533. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Granberry, Anthony A can be contacted via phone (404) 954-2324.Contact Information
Primary practice address
1276 Mcconnell Dr Ste A
Decatur GA 30033-3533
Phone: (404) 954-2324
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT001232 | Georgia |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005075 | Georgia |
Profile Details
NPI number | 1487709481 |
---|---|
LBN Legal business name | Granberry, Anthony A |
Credentials | THD, LPC, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2007 |
Last updated | Jul 10th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487709481 | NPPES |
Georgia | MEDICAID | 219747233A |
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