Grigsby, Melandy Mia
Grigsby, Melandy Mia is an individual health care provider with primary practice located at 6511 Emerald Dunes Dr Apt 208 , Royal Palm Beach FL 33411-2771. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grigsby, Melandy Mia can be contacted via phone (413) 821-4088.Contact Information
Primary practice address
6511 Emerald Dunes Dr Apt 208
Royal Palm Beach FL 33411-2771
Phone: (413) 821-4088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Massachusetts |
Profile Details
| NPI number | 1194039800 |
|---|---|
| LBN Legal business name | Grigsby, Melandy Mia |
| Credentials | M. S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Nov 18th, 2021 - about 5 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 | 1194039800 | NPPES |
| Massachusetts | MEDICAID | 1300881 |
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