Grant, Timothy Lee

Grant, Timothy Lee is an individual health care provider with primary practice located at 3111 S 70Th St , Fort Smith AR 72903-5017. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Grant, Timothy Lee can be contacted via phone (479) 452-6650.

Contact Information

Primary practice address
3111 S 70Th St Fort Smith AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 458-5847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADAC 0190L Arkansas

Profile Details

NPI number 1265542641
LBN Legal business name Grant, Timothy Lee
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 10th, 2011 - about 15 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.

Request for update

Popular Providers