Healthcare Provider Details

I. General information

NPI: 1326967068
Provider Name (Legal Business Name): CAROLINE GRANT LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 LAMOND AVE STE A
DURHAM NC
27701-2074
US

IV. Provider business mailing address

215 TREMONT CIR
CHAPEL HILL NC
27516-1133
US

V. Phone/Fax

Practice location:
  • Phone: 919-587-8018
  • Fax:
Mailing address:
  • Phone: 919-360-8350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number21150A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: