MEDICARE: BRENDA GRIMM

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	174400000X	Specialist	14031632	SD

General Provider Information

NPI Number	:	1780094029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA GRIMM

Provider Business Mailing Address
First Line	:	4320 S LOUISE AVE
Second Line	:	SUITE 200
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-3143
Country	:	US
Telephone Number	:	605-361-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 S LOUISE AVE
Second Line	:	SUITE 200
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-3143
Country	:	US
Telephone Number	:	605-361-1505
Fax Number	:

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

Provider Enumeration Date	:	05/07/2014
Last Update Date	:	05/07/2014

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1780844605 — FIRST STEP COUNSELING, INC
Practice Location Address:

4320 S LOUISE AVE , SUITE 200
SIOUX FALLS, SD
57106-3143

Practice Phone: 605-361-1505
Practice Fax: 605-361-0481

1720388556 — FIRST STEP COUNSELING SERVICES INC.
Practice Location Address:

4320 S LOUISE AVE
SIOUX FALLS, SD
57106-3143

Practice Phone: 605-361-1505
Practice Fax:

1700674686 — NEW LEAF CENTER
Practice Location Address:

600 CENTRAL AVE STE 402
GREAT FALLS, MT
59401-3143

Practice Phone: 406-866-0031
Practice Fax: 406-403-0297

1932283835 — MRS. CRYSTAL MONIQUE KIRSCHMAN MA, LCPC, NCC
Practice Location Address:

600 CENTRAL AVENUE , SUITE 407
GREAT FALLS, MT
59401-3143

Practice Phone: 406-952-3772
Practice Fax:

1710433446 — MRS. ELIZABETH CHRISTINE SEAU MSW, LCSW
Practice Location Address:

600 CENTRAL AVE STE 407
GREAT FALLS, MT
59401-3143

Practice Phone: 505-977-6585
Practice Fax:

Directions to “ BRENDA GRIMM ” 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.