Active NPI
The Grant House
- Community/Behavioral Health Agency
- Douglas, WY
National Provider Identifier
1841681285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE GRANT HOUSE
- Practice address
- 214 S 4TH St
Douglas, WY 82633-2528 - Phone
- (307) 359-9210
- NPI assigned
- Feb 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marjorie A. Grant, LCSW
- Title
- Owner/Director
- Phone
- (307) 359-9210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
214 S 4TH St
Douglas, WY 82633-2528
Mailing address
214 S 4TH St
Douglas, WY 82633-2528
Phone (307) 359-9210
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1841681285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S 4TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332528",
"telephone_number": "307-359-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S 4TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332528",
"telephone_number": "307-359-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GRANT HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "MARJORIE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "307-359-9210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.