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WILLIE GRISSOM
NPI 1083034391
Counselor - Mental Health in Edmond, OK

Active since April 25, 2014
505 CRESTVIEW, EDMOND, OK 73012(405) 706-8936 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Grissom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE GRISSOM (NPI 1083034391) is an individual mental health provider in Edmond, Oklahoma and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1083034391
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIE GRISSOM
Location Address505 CRESTVIEWEdmond, OK 73012-6638
Mailing Address505 CrestviewEdmond, OK 73012-6638
Phone(405) 706-8936
Sole ProprietorYes
Enumeration DateApril 25, 2014
✔ NPI 1083034391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
505 CRESTVIEW, Edmond, OK 73012
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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 Willie Grissom's NPI number?

The NPI number for Willie Grissom is 1083034391. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Willie Grissom located?

Willie Grissom practices at 505 Crestview, Edmond, OK 73012. The listed phone number is (405) 706-8936.

What is Willie Grissom'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 Willie Grissom was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.