MARY LISA GRIMMER NPI 1629708243

NPI Information

  • NPI: 1629708243
  • Provider Name: MARY LISA GRIMMER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7235 MAIDA LN APT 5C
    FORT MYERS, FL
    ZIP 33908
  • Phone: (239) 410-7559

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NPI Details

Mary Lisa Grimmer is a mental health counselor in Fort Myers, FL with 20 years of experience. Mary Lisa Grimmer NPI is 1629708243. 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:

7235 MAIDA LN APT 5C
FORT MYERS, FL
ZIP 33908-203
Phone: (239) 410-7559

The NPI 1629708243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 6/15/2022.

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 HealthMH11345FLORIDAYes

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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