TESHEA GRIZZLEY IDD WAIVER SERVICES NPI 1871218461

NPI Information

  • NPI: 1871218461
  • Provider Name: TESHEA GRIZZLEY, IDD WAIVER SERVICES
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 2513 N 1ST AVE
    LAUREL, MS
    ZIP 39440
  • Phone: (601) 340-3943

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NPI Details

Teshea Grizzley, IDD WAIVER SERVICES is a day training habilitation specialist in Laurel, MS. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Teshea Grizzley, IDD WAIVER SERVICES NPI is 1871218461. 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:

2513 N 1ST AVE
LAUREL, MS
ZIP 39440-701
Phone: (601) 340-3943

The enumeration date for this NPI number is 10/6/2022 and was last updated on 10/6/2022.

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
1373H00000XDay Training/Habilitation SpecialistYes

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: 3/30/2025

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