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TESHEA GRIZZLEY IDD WAIVER SERVICES
NPI 1871218461
Day Training/Habilitation Specialist in Laurel, MS

Active since October 06, 2022
2513 N 1ST AVE, LAUREL, MS 39440(601) 340-3943 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teshea Grizzley Idd Waiver Services NPPES

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

TESHEA GRIZZLEY IDD WAIVER SERVICES (NPI 1871218461) is an individual day training/habilitation specialist in Laurel, Mississippi and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1871218461
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameTESHEA GRIZZLEYCredential: IDD WAIVER SERVICES
Location Address2513 N 1ST AVELaurel, MS 39440-1701
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(601) 340-3943
Sole ProprietorNo
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1871218461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
2513 N 1ST AVE, Laurel, MS 39440
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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 Teshea Grizzley's NPI number?

The NPI number for Teshea Grizzley is 1871218461. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Teshea Grizzley located?

Teshea Grizzley practices at 2513 N 1st Ave, Laurel, MS 39440. The listed phone number is (601) 340-3943.

What is Teshea Grizzley's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Teshea Grizzley was last updated on October 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.