Grigsby, Nishani Kweli

Grigsby, Nishani Kweli is an sole proprietor health care provider with primary practice located at 3121 Collinsworth Suite 14, Ft. Worth TX 76107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Grigsby, Nishani Kweli can be contacted via phone (817) 343-2641.

Contact Information

Primary practice address
3121 Collinsworth Suite 14 Ft. Worth TX 76107
Phone: (817) 343-2641
Fax: (817) 297-9519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63440 Texas
Behavioral Health & Social Service Providers / School 101YS0200X Texas

Profile Details

NPI number 1013156256
LBN Legal business name Grigsby, Nishani Kweli
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2009
Last updated Sep 22nd, 2010 - about 16 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 1013156256 NPPES
Texas MEDICAID 20414501

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