PHYLLIS A GRINSTEAD (NPI# 1013149301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013149301 |
| Entity Type | Individual |
| Full Name | PHYLLIS A GRINSTEAD |
| Credential | PCMHT |
| Practice Address |
4001 Mamie St Hattiesburg MS 39402 |
| Practice Telephone | 6017051901 |
| Mailing Telephone | 6017051901 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1824 | MS | Behavioral Health & Social Service Providers |
| Street Address |
4001 MAMIE ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932331220 | Melissa Jones | Counselor | 4001 Mamie St, Hattiesburg, MS 39402 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894635 | Deena Lambert Crawford | Counselor | 16 Cutlass Pt, Hattiesburg, MS 39402-9555 | 2020-06-04 |
| 1811460256 | Tina Johnson | Counselor | 2008 Oak Grove Rd Apt 10, Hattiesburg, MS 39402-1416 | 2019-01-08 |
| 1245708890 | Fox & Vine, Pllc | Counselor | 1501 Adeline St Ste 2, Hattiesburg, MS 39401-6264 | 2018-11-12 |
| 1972022580 | Garey Allen Bonner II | Counselor | 607 Corinne St Ste A1, Hattiesburg, MS 39401-3831 | 2017-09-14 |
| 1912352709 | Portia M Granger | Counselor | 156 Morrell Cir, Hattiesburg, MS 39402-8132 | 2016-04-28 |
| 1841674876 | The Oaks Integrative Christian Counseling | Counselor | 607 Corinne St # A1, Hattiesburg, MS 39401-3831 | 2015-07-20 |
| 1891037032 | Marquitta Nicole Hill | Counselor | 1306 Hardy St, Hattiesburg, MS 39401-4981 | 2013-03-26 |
| 1013283357 | Amy Ricedorf | Counselor | 4507 U S Highway 49, Hattiesburg, MS 39401-9012 | 2012-03-30 |
| 1952623761 | True Understanding Ministries | Counselor | 2814 Laramie Cir, Hattiesburg, MS 39402-2626 | 2010-02-20 |
| 1639408321 | Journey Counseling & Consulting, LLC | Counselor | 140 Mayfair Rd Ste 300, Hattiesburg, MS 39402-1463 | 2009-12-09 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on PHYLLIS A GRINSTEAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.