| Grigsby Counseling Services, LLC | |
|
4117 31st St Mount Rainier MD 20712-1808 | |
| (240) 893-7296 | |
| Not Available |
| Full Name | Grigsby Counseling Services, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4117 31st St, Mount Rainier, Maryland |
| Authorized Official Name and Position | Gerard Grigsby (CEO/CLINICIAN) |
| Authorized Official Contact | 2408937296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grigsby Counseling Services, LLC 4117 31st St Mount Rainier MD 20712-1808 Ph: (240) 893-7296 | Grigsby Counseling Services, LLC 4117 31st St Mount Rainier MD 20712-1808 Ph: (240) 893-7296 |
| NPI Number | 1356974323 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356974323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
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