MEDICARE: ANNA GRIMM

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	101Y00000X	Counselor	206097	TX

General Provider Information

NPI Number	:	1720962251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GRIMM

Provider Business Mailing Address
First Line	:	13914 ALBEMARLE DR
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16970 DALLAS PKWY STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1928
Country	:	US
Telephone Number	:	214-556-3739
Fax Number	:	214-501-1318

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

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	04/03/2026

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Directions to “ ANNA GRIMM ” Practice Location

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