Laura Kelsey Grant, LICSW | |
177 Bonnieville Dr, Calera, AL 35040-3646 | |
(334) 695-5439 | |
Not Available |
Full Name | Laura Kelsey Grant |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 177 Bonnieville Dr, Calera, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073210498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5248C (Alabama) | Primary |
Entity Name | Integrated Behavioral Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
Entity Name | Russellville Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
Mailing Address | Practice Location Address |
---|---|
Laura Kelsey Grant, LICSW 177 Bonnieville Dr, Calera, AL 35040-3646 Ph: (334) 695-5439 | Laura Kelsey Grant, LICSW 177 Bonnieville Dr, Calera, AL 35040-3646 Ph: (334) 695-5439 |
Anita Perry, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2017 Highview Way, Calera, AL 35040 Phone: 334-320-6979 | |
Brandi Renfro, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 Hamilton Ln, Calera, AL 35040 Phone: 205-668-4308 Fax: 205-668-0894 |