Savannah Grandusky, LPC-Associate
Counselor, Mental Health in Temple, TX. Individual provider (NPI-1).
NPI number1902605751
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1902605751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Savannah Grandusky
- Credential
- LPC-Associate
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2025
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 92489 | TX | Yes |
Practice location
3701 Robinhood DrTemple, TX 76502-2400
Phone 254-931-0835
Mailing address
3809 S General Bruce Dr Ste 103-113Temple, TX 76502-1035
Phone 682-978-7874
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