Doctor Name: | MS. BARBARA DAVIS GRANT |
NPI Number: | 1154791093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 4015 |
Business Practice Address: | 1799 Stumpf Blvd Bldg. 3, Ste. 4-b Terrytown, LA - 700563950 |
Business Phone Number: | 5044070755 |
Business Fax Number: | 5044070778 |
Mailing Address: | 118 Elaine Ave, HARAHAN |
State: | LA |
Postal Code: | 701234904 |
Phone Number: | 5048583706 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2015 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |