Healthcare Provider Details

I. General information

NPI: 1750208799
Provider Name (Legal Business Name): S. GRANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 WEST ST UNIT 200
MEDFIELD MA
02052-1577
US

IV. Provider business mailing address

1204 OLD BRIDGE LN
BELLINGHAM MA
02019-3128
US

V. Phone/Fax

Practice location:
  • Phone: 781-472-9197
  • Fax:
Mailing address:
  • Phone: 781-801-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE D GRANT-WHITNEY
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: MSN, APRN, PMHNP-BC
Phone: 781-801-9364