Individual provider · Type 1 NPI

Phyllis A. Grinstead, PCMHT

Mental Health Counselor · Hattiesburg, MS

NPI number 1013149301 Active

Practice location

4001 Mamie St
Hattiesburg, MS 39402

Call (601) 705-1901 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1824 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1013149301

Phyllis A. Grinstead, PCMHT's National Provider Identifier is 1013149301, issued on Aug 20, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 20, 2009.