Grimes, Richard

Grimes, Richard is an sole proprietor health care provider with primary practice located at 5213 Burbank St , Columbus GA 31907-4018. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Grimes, Richard can be contacted via phone (706) 566-1479.

Contact Information

Primary practice address
5213 Burbank St Columbus GA 31907-4018
Phone: (706) 566-1479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1932582319
LBN Legal business name Grimes, Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2015
Last updated Jul 3rd, 2015 - about 9 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 1932582319 NPPES
Georgia MEDICAID 2209

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