ANJELICA TIANNA GRANT
NPI 1487155040
Counselor - Mental Health in North Las Vegas, NV

Q: What is Anjelica Grant's NPI number?

The NPI number for Anjelica Grant is 1487155040. It was assigned to this individual provider in the NPPES registry on February 27, 2018. The provider is also known as Anjelica Tianna Gaetreau.

Q: What is Anjelica Grant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Anjelica Grant was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 27, 2018

4020 SWIFT CREEK AVE, NORTH LAS VEGAS, NV 89031(702) 910-7096 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anjelica Tianna Grant NPPES

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

ANJELICA TIANNA GRANT (NPI 1487155040) is an individual mental health provider in North Las Vegas, Nevada and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1487155040

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANJELICA TIANNA GRANT

Location Address4020 SWIFT CREEK AVENorth Las Vegas, NV 89031-3641

Mailing Address4020 Swift Creek AveNorth Las Vegas, NV 89031-3641

Phone(702) 910-7096

Sole ProprietorYes

Enumeration DateFebruary 27, 2018

✔ NPI 1487155040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4020 SWIFT CREEK AVE, North Las Vegas, NV 89031

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Other Names 1

Former Name (1)Anjelica Tianna Gaetreau

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINE LOVE WELLNESS CENTER, LLC

Counselor (Mental Health)

4020 SWIFT CREEK AVE
NORTH LAS VEGAS, NV 89031

Clark County (702) 217-7956

JOYFUL HEARTS BEHAVIORAL HEALTHCARE SERVICES, LLC

Counselor (Mental Health)

4020 SWIFT CREEK AVE
NORTH LAS VEGAS, NV 89031

Clark County (702) 910-7096

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 Anjelica Grant's NPI number?

The NPI number for Anjelica Grant is 1487155040. It was assigned to this individual provider in the NPPES registry on February 27, 2018. The provider is also known as Anjelica Tianna Gaetreau.

Where is Anjelica Grant located?

Anjelica Grant practices at 4020 Swift Creek Ave, North Las Vegas, NV 89031. The listed phone number is (702) 910-7096.

What is Anjelica 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 Anjelica Grant was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.