Individual provider · Type 1 NPI

Deaetta Grimes, LPC

Mental Health Counselor · Loganville, GA

NPI number 1548822398 Active

Practice location

299 Cooper Rd Ste B
Loganville, GA 30052-2579

Call (770) 217-4336 Map

Mailing address

3711 Wynship Ct
Snellville, GA 30039-6799

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC013200 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1548822398

Deaetta Grimes, LPC's National Provider Identifier is 1548822398, issued on Jul 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loganville, GA. The record was last updated on Jul 9, 2026.