MEDICARE: MR. GRANT MATTHEW RUBENDUNST LMHC

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	10688	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548557135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GRANT MATTHEW RUBENDUNST LMHC

Provider Business Mailing Address
First Line	:	439 CORTEZ RD W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-1544
Country	:	US
Telephone Number	:	941-755-7830
Fax Number	:	941-755-5650

Provider Business Practice Location Address
First Line	:	439 CORTEZ RD W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-1544
Country	:	US
Telephone Number	:	941-755-7830
Fax Number	:	941-755-5650

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	03/15/2026

Similar Medicare Providers

1285648287 — MANATEE CHILDREN'S SERVICES
Practice Location Address:

465 CORTEZ RD W
BRADENTON, FL
34207-1544

Practice Phone: 941-345-1200
Practice Fax: 941-345-1212

1568525574 — FAMILY COUNSELING CENTER, INC.
Practice Location Address:

439 CORTEZ RD W
BRADENTON, FL
34207-1544

Practice Phone: 941-755-7830
Practice Fax: 941-755-5650

1023289873 — MS. JESSICA LYN WILDE LCSW
Practice Location Address:

439 CORTEZ RD W
BRADENTON, FL
34207-1544

Practice Phone: 941-755-7830
Practice Fax: 941-755-5650

1700344306 — DOMINIQUE FREEMAN
Practice Location Address:

439 CORTEZ RD W
BRADENTON, FL
34207-1544

Practice Phone: 941-284-6733
Practice Fax:

1558896522 — EMILY SHKRAB
Practice Location Address:

5612 26TH ST W
BRADENTON, FL
34207-3515

Practice Phone: 941-465-2579
Practice Fax:

1326670167 — CYNTHIA L CARNES LCSW
Practice Location Address:

3320 VIVIENDA BLVD
BRADENTON, FL
34207

Practice Phone: 616-644-1006
Practice Fax:

Directions to “ MR. GRANT MATTHEW RUBENDUNST LMHC” 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 © 2007-2026 (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.