MR. SHANE OWEN GRANT
NPI 1043666779
Counselor - Mental Health in Manchester, CT
About Mr. Shane Owen Grant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANE OWEN GRANT (NPI 1043666779) is an individual mental health provider in Manchester, Connecticut and active in the NPI registry since May 2016.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Grant's NPI number?
The NPI number for Shane Grant is 1043666779. It was assigned to this individual provider in the NPPES registry on May 12, 2016.
Where is Shane Grant located?
Shane Grant practices at 91 Elm St Apt 312E, Manchester, CT 06040. The listed phone number is (860) 969-7147.
What is Shane Grant's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Shane Grant was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Shane Owen Grant · NPI 1043666779
Mental Health provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since May 12, 2016.
## Identity
- **NPI:** 1043666779 (Entity type: Individual)
- **Enumerated:** May 12, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 91 ELM ST APT 312E, Manchester, CT 06040-8632
- **Phone:** (860) 969-7147
## Record status
- **NPPES last updated:** May 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1043666779) · Data from the CMS NPPES public registry.