JACQUELYN GRANDA LLC NPI 1528618501

NPI Information

  • NPI: 1528618501
  • Provider Name: JACQUELYN GRANDA, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 21301 POWERLINE RD STE 304
    BOCA RATON, FL
    ZIP 33433
  • Phone: (561) 299-1549

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NPI Details

JACQUELYN GRANDA, LLC is a mental health counselor in Boca Raton, FL. JACQUELYN GRANDA, LLC NPI is 1528618501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21301 POWERLINE RD STE 304
BOCA RATON, FL
ZIP 33433-391
Phone: (561) 299-1549

The provider's authorized official is Jacquelyn Michelle Granda .
The authorized official title is Owner and has the following contact phone number (561) 902-8317.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 9/12/2019.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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