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ANISA D GRANTHAM LPC, NCAC
NPI 1619014255
Counselor - Professional in Rincon, GA

Active since January 31, 2007
613 TOWNE PARK DR W STE 103, RINCON, GA 31326(912) 826-0918(912) 826-0959 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anisa D Grantham Lpc, Ncac NPPES

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

ANISA D GRANTHAM LPC, NCAC (NPI 1619014255) is an individual professional provider in Rincon, Georgia, licensed in Georgia (004189) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619014255
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANISA D GRANTHAMCredential: LPC, NCAC
Location Address613 TOWNE PARK DR W STE 103Rincon, GA 31326-9098
Mailing Address613 Towne Park Dr W Ste 103, Po Box 1834Rincon, GA 31326-9098 · (912) 826-0918 · Fax (912) 826-0959
Phone(912) 826-0918
Fax(912) 826-0959
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 14, 2015
✔ NPI 1619014255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 004189
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
613 TOWNE PARK DR W STE 103, Rincon, GA 31326
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Other Providers at the Same Location NPPES 6

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

ALLYSON MARIE HAMPTON-PADILLA
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (912) 677-4292
EMALINE ANDERSON
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (912) 208-4776
RAELYNN M PADILLA HAMPTON RBT
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (912) 677-4292
AMBER MILLS ROBINSON
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (912) 677-4292
MYASIA MOULTRIE
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (609) 351-7134
ADDISON WOOTEN RBT
Behavior Technician
613 TOWNE PARK DR W STE 103
RINCON, GA 31326
Effingham County (912) 677-4292

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 Anisa Grantham's NPI number?

The NPI number for Anisa Grantham is 1619014255. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Anisa Grantham located?

Anisa Grantham practices at 613 Towne Park Dr W Ste 103, Rincon, GA 31326. The listed phone number is (912) 826-0918.

What is Anisa Grantham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Anisa Grantham was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.