Individual provider · Type 1 NPI
Mary Elizabeth Grant, LPC
Professional Counselor · Memphis, TN
NPI number
1700808961
Active
Practice location
871 Ridgeway Loop Road, Suite 108
Memphis, TN 38120
Fax (901) 871-0353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3350 (TN) |
| Mental Health Counselor | 101YM0800X | MSLPC0311 (MS) |
Professional Counselor: Definition to come...
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About NPI 1700808961
Mary Elizabeth Grant, LPC's National Provider Identifier is 1700808961, issued on Jul 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Jul 15, 2021.