Individual provider · Type 1 NPI

Ivy Granderson, MS

Mental Health Counselor · Atlanta, GA

NPI number 1457265696 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1457265696

Ivy Granderson, MS's National Provider Identifier is 1457265696, issued on Oct 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Oct 2, 2026.