Grantham, Lauren Michelle

Grantham, Lauren Michelle is an sole proprietor health care provider with primary practice located at 1807 E Walnut St , Goldsboro NC 27530-5330. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grantham, Lauren Michelle can be contacted via phone (919) 394-1637.

Contact Information

Primary practice address
1807 E Walnut St Goldsboro NC 27530-5330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A10094 North Carolina

Profile Details

NPI number 1558744292
LBN Legal business name Grantham, Lauren Michelle
Credentials LPCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558744292 NPPES
North Carolina MEDICAID 1093855439

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