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NPI Code Detail

MEDICARE: GRIN GRANT INC

MEDICARE: GRIN GRANT INC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1124896972
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRIN GRANT INC
Provider Business Mailing Address
First Line : 7145 E VIRGINIA ST STE 2000
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-9147
Country : US
Telephone Number : 812-962-7894
Fax Number :
Provider Business Practice Location Address
First Line : 628 N BROADWAY STE 302
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-3726
Country : US
Telephone Number : 859-309-0150
Fax Number : 859-309-0154
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. MARY HELEN SHASHY
Credential : APSS
Telephone Number : 859-629-1214
Provider Enumeration Date : 12/12/2023
Last Update Date : 12/12/2025

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Directions to “GRIN GRANT INC ” Practice Location

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