TABITHA LYNN GRANT (NPI# 1487912705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487912705 |
| Entity Type | Individual |
| Full Name | TABITHA LYNN GRANT |
| Credential | LMFT, MCAP, ICADC |
| Practice Address |
300 S 6th St Fort Pierce FL 34950-4221 |
| Practice Telephone | 7725842501 |
| Mailing Telephone | 7725842501 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ADC-010451-2015 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH10719 | FL | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MT3149 | FL | Behavioral Health & Social Service Providers |
| Street Address |
300 S 6TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789821 | Alexandria Laine Tackett | Social Worker | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2020-04-16 |
| 1497236988 | Tara T Festa | Counselor | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2018-08-23 |
| 1821541483 | Beachside Medical Care LLC | Clinical Nurse Specialist | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2016-08-01 |
| 1265720098 | Cheryl Ann Nicholson | Registered Nurse | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1811473994 | Radcliffe Lloyd Nathan | Marriage & Family Therapist | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2018-07-12 |
| 1750887923 | Wesley F Samons I | Marriage & Family Therapist | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2018-04-04 |
| 1952819245 | Gillian Gordon | Marriage & Family Therapist | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2018-01-20 |
| 1942728977 | Preston Elaine Newell | Marriage & Family Therapist | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2017-08-30 |
| 1407392962 | Ashley Noble | Marriage & Family Therapist | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2017-01-09 |
| 1588026363 | Nancy Delva Miller | Marriage & Family Therapist | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2016-03-22 |
| 1881051670 | Sharmaine Lafleur | Marriage & Family Therapist | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2016-01-25 |
| 1881051761 | Karen Lindsay | Marriage & Family Therapist | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2016-01-22 |
| 1083089379 | Billy Hernaiz | Marriage & Family Therapist | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2015-12-11 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on TABITHA LYNN 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.