KENISHA GRAHAM
NPI 1144522871
Counselor - Mental Health in Bartow, FL
Active since December 01, 2010
About Kenisha Graham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENISHA GRAHAM (NPI 1144522871) is an individual mental health provider in Bartow, Florida and active in the NPI registry since December 2010.
NPPES Registry Identity
NPI1144522871
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENISHA GRAHAM
Location Address1255 GOLFVIEW AVEBartow, FL 33830-6736
Mailing AddressPo Box 1559Bartow, FL 33831-1559
Phone(863) 519-0575
Sole ProprietorNo
Enumeration DateDecember 1, 2010
✔ NPI 1144522871 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1255 GOLFVIEW AVE, Bartow, FL 33830
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144522871, enumerated as an "individual" on December 01, 2010.
The provider is located at 1255 GOLFVIEW AVE BARTOW, FL 33830 and the phone number is (863) 519-0575.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
