STACEY M GRANT (NPI# 1184278749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184278749 |
| Entity Type | Individual |
| Full Name | STACEY M GRANT |
| Practice Address |
555 Stockton St Jacksonville FL 32204-2534 |
| Practice Telephone | 9043874661 |
| Mailing Telephone | 9043874661 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861842635 | Stacey Grant | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-06-13 |
| 1780924597 | Stacey K Grant | Licensed Practical Nurse | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2013-02-15 |
| Street Address |
555 STOCKTON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305338 | Gateway Community Services Inc | Substance Abuse Rehabilitation Facility | 555 Stockton St, Jacksonville, FL 32204-2534 | 2006-04-14 |
| 1073132577 | Lakeisha Greene | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1700405214 | Sarah Shine | Social Worker | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1477103281 | Christina Cates | Physician Assistant | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-09-13 |
| 1891349320 | Roseline Oghomwen Shofolu | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-08-01 |
| 1306490974 | Karla Tandy | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1588218150 | Elizabeth Anne Greenhalgh | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1902450562 | James Price-chandler | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1962056531 | Kimbri Najua Johnson | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1386203818 | Brittany Wilson | Registered Nurse | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514670 | William George Beasley Jr. | Counselor | 205 Sherwood Rd, Jacksonville, NC 28540-5534 | 2020-09-28 |
| 1881200053 | Sarah M Allen | Counselor | 307 Angelina St, Jacksonville, TX 75766-9212 | 2020-09-22 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1982234100 | Sherree Smith | Counselor | 934 Lynchburg Dr, Jacksonville, NC 28546-4560 | 2020-01-16 |
| 1982266490 | Fernette R Hoag | Counselor | 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 | 2019-07-04 |
| 1942796347 | Gods House of Solomon | Counselor | 1709 Helena St, Jacksonville, FL 32208-3692 | 2018-07-09 |
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1649768037 | Tiffany Angela Yarbough | Counselor | 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1588160303 | Julie Margarita Smith | Counselor | 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 | 2018-04-02 |
| 1689172587 | Rittie Ann Ragland | Counselor | 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 | 2018-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on STACEY M GRANT.
| 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.