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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487709481 NPPES
Georgia MEDICAID 219747233A

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