Individual provider · Type 1 NPI

Alyssa Grant

Mental Health Counselor · Omaha, NE

NPI number 1104563915 Active

Practice location

5072 S 135th St
Omaha, NE 68137-1639

Call (402) 616-9876 Map

Fax (712) 355-5120

Mailing address

2412 S 11th St
Council Bluffs, IA 51501-7407

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104563915

Alyssa Grant's National Provider Identifier is 1104563915, issued on May 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on May 13, 2022.