Mirryian Clarissa Grant

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

671 Henderson Dr
Seneca, SC 29678-1701

Phone

(864) 624-6922

Fax

(864) 467-3757

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1821552944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HENDERSON DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781701",
            "telephone_number": "864-624-6922",
            "fax_number": "864-467-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HENDERSON DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781701",
            "telephone_number": "864-624-6922",
            "fax_number": "864-467-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MIRRYIAN",
        "middle_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Gosnell, NP
• Grace Counseling Center J. Ray Addison PH.D. PRT Et Al
• Grace Dentistry, LLC
• Brandi Graham
• Michael Ragan Grant, DMD
• Barbara Anne Greb, AU.D.
• Akida Jamal Green, M.D.
• Carolyn Joy Green, PA-C
• Greenville Health Corporation (Prisma Health Center for Prosthetics & Orthotics)
• Greenville Health Corporation (Upstate Pharmacy Seneca)

• Addiction (Substance Use Disorder) Counselor in Seneca, SC
• Providers in Seneca, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.