Grandusky, Emily Joyce

Grandusky, Emily Joyce is an individual health care provider with primary practice located at 303 W. 6Th Street , Junior WV 26275-0324. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Grandusky, Emily Joyce can be contacted via phone (304) 997-2835.

Contact Information

Primary practice address
303 W. 6Th Street Junior WV 26275-0324
Phone: (304) 997-2835
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 172 West Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 172 West Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 172 West Virginia
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003019274
LBN Legal business name Grandusky, Emily Joyce
Credentials MS, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Dec 15th, 2015 - about 10 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 1003019274 NPPES
West Virginia MEDICAID 0023397001

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