Organization Active NPI

Bridgette Grant LCSW LLC

  • Adult Mental Health Clinic/Center
  • Lahaina, HI
National Provider Identifier
1366901472
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRIDGETTE GRANT LCSW LLC
Practice address
4435 Lower Honoapiillani Rd
142
Lahaina, HI 96761
Phone
(267) 975-8308
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bridgette Marie Grant, LCSW
Title
LCSW
Phone
(267) 975-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

4435 Lower Honoapiillani Rd
142
Lahaina, HI 96761

Mailing address

4435 Lower Honoapillani Rd
142
Lahaina, HI 96761
Phone (267) 975-8308

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1366901472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 LOWER HONOAPILLANI RD",
            "address_2": "142",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "267-975-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 LOWER HONOAPIILLANI RD",
            "address_2": "142",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "267-975-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETTE GRANT LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "267-975-8308",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.