Grooms, Ivy Alyssa

Grooms, Ivy Alyssa is an sole proprietor health care provider with primary practice located at 232 E Franklin St , Rockingham NC 28379-3627. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grooms, Ivy Alyssa can be contacted via phone (910) 817-7417.

Contact Information

Primary practice address
232 E Franklin St Rockingham NC 28379-3627
Phone: (910) 817-7417
Fax: (910) 817-7218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-27726 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P018463 North Carolina

Profile Details

NPI number 1619636479
LBN Legal business name Grooms, Ivy Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2021
Last updated Nov 14th, 2022 - about 4 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