| Tyrese Mykeil Grant, | |
|
96 Wisteria Rd, Goose Creek, SC 29445-3495 | |
| (843) 797-7871 | |
| Not Available |
| Full Name | Tyrese Mykeil Grant |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 96 Wisteria Rd, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922847813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrese Mykeil Grant, 96 Wisteria Rd, Goose Creek, SC 29445-3495 Ph: (843) 797-7871 | Tyrese Mykeil Grant, 96 Wisteria Rd, Goose Creek, SC 29445-3495 Ph: (843) 797-7871 |
Joni Wiggins, Lpc, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Central Ave, Suite 5, Goose Creek, SC 29445 Phone: 843-478-9441 | |
Mr. Terrell Montague, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 Fax: 843-797-8638 | |
Sasha Stukes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 | |
Jessica Beanard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 | |
Amanda Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Eston Dr, Goose Creek, SC 29445 Phone: 803-899-5283 | |
Alandria Mustafa, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100a Central Ave Ste 206, Goose Creek, SC 29445 Phone: 954-993-4270 | |
Renee Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Greenland Dr, Goose Creek, SC 29445 Phone: 864-605-1449 |