MEDICARE: ELENA GRANT-SCHRAMM

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	.0101274	FL

General Provider Information

NPI Number	:	1740137439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA GRANT-SCHRAMM

Provider Business Mailing Address
First Line	:	975 VOLCO RD
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-7007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 VOLCO RD
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-7007
Country	:	US
Telephone Number	:	386-527-9838
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ ELENA GRANT-SCHRAMM ” Practice Location

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