Doctor Name: | BRENNA GRANT |
NPI Number: | 1104177732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 817 N Dixie Hwy Pompano Beach, FL - 330605621 |
Business Phone Number: | 9547858285 |
Business Fax Number: | |
Mailing Address: | 6477 Sw 12th St, WEST MIAMI |
State: | FL |
Postal Code: | 331445619 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/22/2012 |
NPI Last Update Date: | 09/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |