Foster, Emily Griscom
Foster, Emily Griscom is an individual health care provider with primary practice located at 50 Leanni Way Unit C4 , Palm Coast FL 32137-4755. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Foster, Emily Griscom can be contacted via phone (386) 445-9682.Contact Information
Primary practice address
50 Leanni Way Unit C4
Palm Coast FL 32137-4755
Phone: (386) 445-9682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MCAP100640 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW18303 | Florida |
Profile Details
| NPI number | 1750951794 |
|---|---|
| LBN Legal business name | Foster, Emily Griscom |
| Credentials | SW18303 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2021 |
| Last updated | Apr 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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