Individual provider · Type 1 NPI
Angela McKinney Grant, LPC
Mental Health Counselor · Mableton, GA
NPI number
1174207286
Active
Practice location
5701 Mableton Pkwy SW Ste 309
Mableton, GA 30126-3360
Mailing address
2390 Greythorne Cmns
Douglasville, GA 30135-8103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC004487 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1174207286
Angela McKinney Grant, LPC's National Provider Identifier is 1174207286, issued on Jun 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mableton, GA. The record was last updated on Jun 12, 2023.