TRACY LYNN GRANTHAM (NPI# 1538452933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538452933 |
| Entity Type | Individual |
| Full Name | TRACY LYNN GRANTHAM |
| Credential | LPC |
| Practice Address |
4130 Faber Place Dr Suite 115 N Charleston SC 29405-8501 |
| Practice Telephone | 8437475327 |
| Practice Fax Number | 8437470698 |
| Mailing Telephone | 8437475327 |
| Mailing Fax Number | 8437470698 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2835 | SC | Behavioral Health & Social Service Providers |
| Street Address |
4130 FABER PLACE DR SUITE 115 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871820209 | Clta, LLC | Home Health | 4130 Faber Place Dr, Suite 208, N Charleston, SC 29405-8501 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568009 | Tiffany D Ravenel | Counselor | 2810 Ashley Phosphate Rd Ste B13, N Charleston, SC 29418-6401 | 2015-01-22 |
| 1831281534 | Corius L. Johnson | Counselor | 3841 Leeds Ave, N Charleston, SC 29405-7469 | 2006-09-29 |
| 1073605515 | Rico K Calhoun | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-09-29 |
| 1912298951 | Carolina Counseling Services, LLC | Counselor | 9229 University Blvd, Suite B, N Charleston, SC 29406-9150 | 2011-04-26 |
| 1538357538 | Misty T Deese | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2007-10-04 |
| 1649463902 | Delores A Belin-burns | Counselor | 3870 Leeds Ave, Suite 104, N Charleston, SC 29405-7493 | 2007-08-21 |
| 1548466345 | Lorinda Wagener | Counselor | 3601 Meeting Street Rd # C, N Charleston, SC 29405-7715 | 2007-06-27 |
| 1336273937 | Kenneth B Powell | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2007-03-15 |
| 1770614638 | Robert P Prince | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2007-03-09 |
| 1902974751 | Damon L Wilson | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-12-01 |
| Find all providers in N CHARLESTON | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on TRACY LYNN GRANTHAM.
| 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.