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LAWRENCE DAVID GRISSOM JR.
NPI 1811703176
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Active since December 10, 2024
2120 W WILLIAMS ST, LONG BEACH, CA 90810(562) 388-8115 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence David Grissom Jr. NPPES

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

LAWRENCE DAVID GRISSOM JR. (NPI 1811703176) is an individual addiction (substance use disorder) provider in Long Beach, California, licensed in California (19954) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1811703176
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLAWRENCE DAVID GRISSOM JR.
Location Address2120 W WILLIAMS STLong Beach, CA 90810-3636
Mailing Address2120 W Williams StLong Beach, CA 90810-3636 · (562) 388-8118
Phone(562) 388-8115
Sole ProprietorNo
Enumeration DateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1811703176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 19954
2120 W WILLIAMS ST, Long Beach, CA 90810
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Other Providers at the Same Location NPPES 16

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

KATHLEEN MICHAEL LOW
Student in an Organized Health Care Education/Training Program
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
KELLY SIMS
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
BLAISE CHERIE EVERSOLE
Student in an Organized Health Care Education/Training Program
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
RUDOLPH PARTIDA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
MR. LEVI RAHSAN STANSBERRY
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (323) 802-3673
GILBERTO RADAMES PADILLA ZUNIGA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
JONATHAN JAMES CHASE IN WINTER
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
PHILLIP REED JR.
Case Manager/Care Coordinator
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 583-4979

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 Lawrence Grissom's NPI number?

The NPI number for Lawrence Grissom is 1811703176. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Lawrence Grissom located?

Lawrence Grissom practices at 2120 W Williams St, Long Beach, CA 90810. The listed phone number is (562) 388-8115.

What is Lawrence Grissom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lawrence Grissom was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.