Individual provider · Type 1 NPI

Nicole Rae Grannie

Mental Health Counselor · Brandon, FL

NPI number 1285132902 Active

Practice location

1116 Nikki View Dr
Brandon, FL 33511-4868

Call (855) 832-6727 Map

Mailing address

18001 Richmond Place Dr Apt 435
Tampa, FL 33647-1754

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH28564 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1285132902

Nicole Rae Grannie's National Provider Identifier is 1285132902, issued on Jan 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, FL. The record was last updated on Oct 22, 2026.