| Deanna R. Grim, Ed.d., Inc. | |
|
320 Maxwell Rd Suite 600 C Alpharetta GA 30009-2070 | |
| (678) 300-4746 | |
| Not Available |
| Full Name | Deanna R. Grim, Ed.d., Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 320 Maxwell Rd, Alpharetta, Georgia |
| Authorized Official Name and Position | Deanna R. Grim (OWNER/CEO) |
| Authorized Official Contact | 6783004746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna R. Grim, Ed.d., Inc. 320 Maxwell Rd Suite 600 C Alpharetta GA 30009-2070 Ph: (678) 300-4746 | Deanna R. Grim, Ed.d., Inc. 320 Maxwell Rd Suite 600 C Alpharetta GA 30009-2070 Ph: (678) 300-4746 |
| NPI Number | 1114252426 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114252426 | NPI | - | NPPES |
| 099972183A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 615 (Georgia) | Primary |
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