Individual provider · Type 1 NPI
Idisleidi Grille, LCSW
Mental Health Counselor · Hialeah, FL
NPI number
1710486527
Active
Practice location
4175 W 20th Ave
Hialeah, FL 33012-5874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15076 (FL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710486527
Idisleidi Grille, LCSW's National Provider Identifier is 1710486527, issued on Feb 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hialeah, FL. The record was last updated on Apr 1, 2022.