Provider / Organization | NPI | Date Certified |
---|---|---|
LAKEIA M GRANT | 1689220907 | 2021-07-12 |
Lakeia M Grant is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689220907. Registration indicates Lakeia M Grant is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Ms. Lakeia M Grant LMSW |
Practice Office Address | BANVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET MIDDLETOWN, NY US |
Practice Office Telephone | 8458436400 |
Practice Office Fax | 8454216804 |
Mailing Address | BANVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET MIDDLETOWN, NY 109402516 US |
Business Telephone | 8458436400 |
Business Fax | 8454216804 |
Code | Practice | License No State |
---|---|---|
104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 106969-01
NY |