Grant, Sharon R

Grant, Sharon R is an individual health care provider with primary practice located at 111 Petrol Pt Suite K, Peachtree City GA 30269-1550. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grant, Sharon R can be contacted via phone (470) 377-6839.

Contact Information

Primary practice address
111 Petrol Pt Suite K Peachtree City GA 30269-1550
Fax: (678) 723-9016
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC006518 Georgia

Profile Details

NPI number 1689930877
LBN Legal business name Grant, Sharon R
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated May 12th, 2017 - about 7 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 1689930877 NPPES
Georgia MEDICAID 003160017A

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