MEDICARE: BRIAN GRANNEMAN LMHC, CAP, CCTP

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	MH25312	FL

General Provider Information

NPI Number	:	1508697848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN GRANNEMAN LMHC, CAP, CCTP

Provider Business Mailing Address
First Line	:	171 29TH ST SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-3120
Country	:	US
Telephone Number	:	239-777-0736
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 HERITAGE TRL STE 203
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-8715
Country	:	US
Telephone Number	:	239-212-1500
Fax Number	:

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

Provider Enumeration Date	:	08/09/2024
Last Update Date	:	10/07/2025

Similar Medicare Providers

1982497020 — MOBILE REHAB & LYMPHATICS LLC
Practice Location Address:

1715 HERITAGE TRL STE 203
NAPLES, FL
34112-8715

Practice Phone: 239-558-0216
Practice Fax: 239-266-2621

1609873157 — DR. RONALD M REPICE II D.C.
Practice Location Address:

1715 HERITAGE TRL , STE 203
NAPLES, FL
34112-8715

Practice Phone: 239-530-3040
Practice Fax: 239-530-3050

1811988165 — DR. MICHAEL JOHN PETROCELLI D.P.M.
Practice Location Address:

1715 HERITAGE TRL , SUITE 204
NAPLES, FL
34112-8715

Practice Phone: 239-775-0019
Practice Fax: 239-775-0219

1659406122 — MANDY M REPICE OTRIL
Practice Location Address:

1715 HERITAGE TRL
NAPLES, FL
34112-8715

Practice Phone: 239-530-3040
Practice Fax:

1164634556 — COLLIER PODIATRY, P.A.
Practice Location Address:

1715 HERITAGE TRL , SUITE 204
NAPLES, FL
34112-8715

Practice Phone: 239-775-0019
Practice Fax: 239-775-0219

1598350613 — LIFESTYLE HEALING INSTITUTE LLC
Practice Location Address:

1715 HERITAGE TRL STE 203
NAPLES, FL
34112-8715

Practice Phone: 866-663-3869
Practice Fax:

Directions to “ BRIAN GRANNEMAN LMHC, CAP, CCTP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.