| Bridgette Grant Lcsw Llc | |
|
4435 Lower Honoapiillani Rd 142 Lahaina HI 96761 | |
| (267) 975-8308 | |
| Not Available |
| Full Name | Bridgette Grant Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4435 Lower Honoapiillani Rd, Lahaina, Hawaii |
| Authorized Official Name and Position | Bridgette Marie Grant (LCSW) |
| Authorized Official Contact | 2679758308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgette Grant Lcsw Llc 4435 Lower Honoapillani Rd 142 Lahaina HI 96761 Ph: (267) 975-8308 | Bridgette Grant Lcsw Llc 4435 Lower Honoapiillani Rd 142 Lahaina HI 96761 Ph: (267) 975-8308 |
| NPI Number | 1366901472 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366901472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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