Individual provider · NPI-1

Shirnel Alleyne-Grant

Counselor, Professional · Ellenwood, GA

NPI number1619548716
StatusActive
Last updated in NPPESJul 8, 2021

Details

NPI
1619548716
Entity type
Individual (NPI-1)
Name
Shirnel Alleyne-Grant
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2021
Certification date
Jul 8, 2021
Last updated
Jul 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professionallpc004757GAYes

Practice location

2204 River Rd
Ellenwood, GA 30294-1107

Phone 404-357-1506

Mailing address

2204 River Rd
Ellenwood, GA 30294-1107

Phone 404-357-1506

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