MARISA ANN GRIMMIUS MA LCMHCA NCC NPI 1083485528

NPI Information

NPI: 1083485528
Provider Name: MARISA ANN GRIMMIUS, MA, LCMHCA, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
111 KILSON DR STE 201
MOORESVILLE, NC
ZIP 28117
Phone: (704) 664-1009
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Marisa Ann Grimmius, MA, LCMHCA, NCC is a mental health counselor in Mooresville, NC. Marisa Ann Grimmius, MA, LCMHCA, NCC NPI is 1083485528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 KILSON DR STE 201
MOORESVILLE, NC
ZIP 28117-218
Phone: (704) 664-1009

The enumeration date for this NPI number is 1/12/2024 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A19569	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A19569	OTHER	NORTH CAROLINA	NORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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