GRANT TELEPSYCHIATRY FOR WOMEN, LLC (NPI# 1275146458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275146458 |
| Entity Type | Organization |
| Organization Name | GRANT TELEPSYCHIATRY FOR WOMEN, LLC |
| Practice Address |
804 Kendal Ct Savannah GA 31419-7015 |
| Practice Telephone | 9123445944 |
| Mailing Telephone | 9123445944 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | TSHAUN GRANT (OWNER) |
| Authorized Official Telephone | 9123445944 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
804 KENDAL CT |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687690 | Lisa Marie Hogan | Nurse Practitioner | 135 Betsy Dr, Savannah, TN 38372-8907 | 2020-01-03 |
| 1619442951 | Leah Jean Carter | Nurse Practitioner | 1309 Trafford Ln, Savannah, GA 31410-5120 | 2018-10-12 |
| 1437761566 | Muscogee Mental Health and Wellness Services LLC | Nurse Practitioner | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-08-19 |
| 1013525005 | Dhariniben Patel | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2020-07-16 |
| 1336775550 | Tshaun Grant | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-03-19 |
| 1720611379 | Emilie Taulbee | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-21 |
| 1922631670 | Joseph Anthony Walker | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-20 |
| 1942833009 | Lauren Brittany Tatum | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-18 |
| 1558992974 | Faqueta Kenisha Green | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-04 |
| 1154817906 | Mary Alice Gillingham | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-07-05 |
| Find all providers in SAVANNAH | ||||
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| 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.