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TYRESE MYKEIL GRANT
NPI 1922847813
Counselor - Addiction (Substance Use Disorder) in Goose Creek, SC

Active since May 21, 2024
96 WISTERIA RD, GOOSE CREEK, SC 29445(843) 797-7871 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyrese Mykeil Grant NPPES

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

TYRESE MYKEIL GRANT (NPI 1922847813) is an individual addiction (substance use disorder) provider in Goose Creek, South Carolina and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1922847813
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTYRESE MYKEIL GRANT
Location Address96 WISTERIA RDGoose Creek, SC 29445-3495
Mailing Address96 Wisteria RdGoose Creek, SC 29445-3495 · (843) 797-7871
Phone(843) 797-7871
Sole ProprietorNo
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1922847813 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
96 WISTERIA RD, Goose Creek, SC 29445
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Other Providers at the Same Location NPPES 19

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

MR. TERRELL MONTAGUE MA
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
SASHA STUKES
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
JESSICA BEANARD
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
MS. ELVIRA P. MELVIN MAHS
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
LAKIA JONES
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
BRETT D LEACH MA
Counselor (Professional)
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
KIANGA GREEN MSW
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871
MELANIE GASKIN MS, CACP
Counselor (Addiction (Substance Use Disorder))
96 WISTERIA RD
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7871

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 Tyrese Grant's NPI number?

The NPI number for Tyrese Grant is 1922847813. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Tyrese Grant located?

Tyrese Grant practices at 96 Wisteria Rd, Goose Creek, SC 29445. The listed phone number is (843) 797-7871.

What is Tyrese Grant'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 Tyrese Grant was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.