Individual provider · Type 1 NPI

Tiaisha-Nicol Grant, MHC

Mental Health Counselor · Valley Stream, NY

NPI number 1942083050 Active

Practice location

108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105

Mailing address

95 Palmetto St Apt 3A
Brooklyn, NY 11221-4950

Other practice locations

  • 95 Palmetto St Apt 3A, Brooklyn, NY 11221-4950 · (347) 204-9466

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942083050

Tiaisha-Nicol Grant, MHC's National Provider Identifier is 1942083050, issued on Aug 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Stream, NY. The record was last updated on Aug 14, 2023.