Grim, Deanna R.

Grim, Deanna R. is an individual health care provider with primary practice located at 320 Maxwell Rd Suite 600 C, Alpharetta GA 30009-2070. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Grim, Deanna R. can be contacted via phone (678) 300-4746.

Contact Information

Primary practice address
320 Maxwell Rd Suite 600 C Alpharetta GA 30009-2070
Phone: (678) 300-4746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC615 Georgia

Profile Details

NPI number 1356466643
LBN Legal business name Grim, Deanna R.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 29th, 2014 - 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 1356466643 NPPES
Georgia MEDICAID 099972183A

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