Sally Lewis Grant, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SALLY LEWIS GRANT, LLC

Practice address

2500 Peachtree St
Goldsboro, NC 27534-4312

Phone

(919) 920-3910

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sally L Grant, LCAS

Title

Owner

Phone

(919) 920-3910

Specialties & licenses 1

Addresses

Tax ID family

Sally Lewis Grant LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Counseling Services, PLLC

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1902175342
  NPD tax ID

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1821368432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10174",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275320174",
            "telephone_number": "919-920-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PEACHTREE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344312",
            "telephone_number": "919-920-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY LEWIS GRANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-920-3910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muthiah Krishnasamy Sabanayagam, M.D.
• Ivane Sinai Saenz, LCSWA
• Vivek Jagdish Sainani, M.D.
• James D Salisbury, DO
• Margaret Ellen Salisbury, PA-C
• Elliott John Sally, DO
• Carolyn M Sampson, M.D.
• Sams East Inc
• Victoria R Samuels, M.D.
• Judith Daniels Sanders, CRNA

• Addiction (Substance Use Disorder) Counselor in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.