| Doctor Name: | MRS. NISHANI KWELI GRIGSBY |
| NPI Number: | 1013156256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 3121 Collinsworth Suite 14 Ft. Worth, TX - 76107 |
| Business Phone Number: | 8173432641 |
| Business Fax Number: | 8172979519 |
| Mailing Address: | 5108 Azul Ln., CROWLEY |
| State: | TX |
| Postal Code: | 76036 |
| Phone Number: | 8173432641 |
| Fax Number: | 8172979519 |
| NPI Enumeration Date: | 02/11/2009 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |