Grant, Stacey M

Grant, Stacey M is an individual health care provider with primary practice located at 555 Stockton St , Jacksonville FL 32204-2534. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Grant, Stacey M can be contacted via phone (904) 387-4661.

Contact Information

Primary practice address
555 Stockton St Jacksonville FL 32204-2534
Phone: (904) 387-4661
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida

Profile Details

NPI number 1184278749
LBN Legal business name Grant, Stacey M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated May 12th, 2023 - about 3 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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