MIRRYIAN CLARISSA GRANT (NPI# 1821552944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821552944 |
| Entity Type | Individual |
| Full Name | MIRRYIAN CLARISSA GRANT |
| Practice Address |
671 Henderson Dr Seneca SC 29678-1701 |
| Practice Telephone | 8646246922 |
| Practice Fax Number | 8644673757 |
| Mailing Telephone | 8646246922 |
| Mailing Fax Number | 8644673757 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
671 HENDERSON DR |
| City | SENECA |
| State | SC |
| Zip Code | 29678-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787899 | Debra Cole Culbertson | Counselor | 135 Eagles Nest Dr Ste C, Seneca, SC 29678-2766 | 2013-05-10 |
| 1063591246 | Sara Smith | Counselor | 691 S Oak St, Seneca, SC 29678-3827 | 2006-11-06 |
| 1376143255 | Kathleen Grace Martin | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2020-10-29 |
| 1275149882 | Ryan Israel | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2020-09-18 |
| 1174089254 | Jeremy Jason Ray | Counselor | 203 Central Park Ln Ste A, Seneca, SC 29678 | 2019-02-14 |
| 1467917351 | Michelle Carmela Ciavolino | Counselor | 691 S Oak St, Seneca, SC 29678-3827 | 2019-02-05 |
| 1962982793 | Lexus Cecilia Lewis | Counselor | 691 S Oak St, Seneca, SC 29678-3827 | 2018-08-21 |
| 1154835148 | Hollie Bates | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
| 1710491709 | Abbee Thorpe | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
| 1174037162 | Elyse Ciotta | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
| Find all providers in SENECA | ||||
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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.