Grant, Will Wayne
Grant, Will Wayne is an sole proprietor health care provider with primary practice located at 607 Benson Rd , Garner NC 27529-3988. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Grant, Will Wayne can be contacted via phone (919) 422-0104.Contact Information
Primary practice address
607 Benson Rd
Garner NC 27529-3988
Phone: (919) 422-0104
Fax: (919) 934-2053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | North Carolina | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1285187856 |
|---|---|
| LBN Legal business name | Grant, Will Wayne |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2016 |
| Last updated | Jul 29th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285187856 | NPPES |
| North Carolina | Other | 22647 | NCSAPPB |
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