MEDICARE: AUBREY R GRINSTEAD LPCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	8576	SC

General Provider Information

NPI Number	:	1043734585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY R GRINSTEAD LPCA

Provider Business Mailing Address
First Line	:	301 HALTON RD STE J
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3498
Country	:	US
Telephone Number	:	864-501-3846
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 HALTON RD STE J
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3498
Country	:	US
Telephone Number	:	864-501-3846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	04/27/2026

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