Tobi D Granger, LMHC
Individual provider Active NPI Mental Health Counselor · Umatilla, FL
NPI 1144817032 · NPPES record last updated Dec 25, 2020
Key facts
- NPI
- 1144817032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH15908 (FL)
- Practice address
- 633 Umatilla Blvd
Umatilla, FL 32784-8418 - Phone
- (352) 669-8000
- NPI assigned
- Dec 25, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15908 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15908 | FL | Yes |
Addresses
Primary practice location
633 Umatilla Blvd
Umatilla, FL 32784-8418
Mailing address
633 Umatilla Blvd
Umatilla, FL 32784-8418
Phone (352) 669-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760729669 | Other | FL | EVANSTON INSURANCE COMPANY |
Other providers in Umatilla, FL
- Margaret Englund
- Enhancing Lives Inc.
- Jason A Folds
- Mary A Futch
- George G Gavin
- Jessica Ann Grayburn
- Steffany Griswold
- Jason Antoine Harris
- Dixon Alan Hays
- Sara Hernandez
All providers in Umatilla, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.