Individual provider · Type 1 NPI

Diana Elicia Grant, LMHC

Mental Health Counselor · Copiague, NY

NPI number 1124821780 Active

Practice location

903 Montauk Hwy Unit C
Copiague, NY 11726-4903

Call (631) 948-4549 Map

Mailing address

903 Montauk Hwy Unit C7020
Copiague, NY 11726-4903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015920 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1124821780

Diana Elicia Grant, LMHC's National Provider Identifier is 1124821780, issued on Mar 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Copiague, NY. The record was last updated on Jun 23, 2025.