MEDICARE: MS. ALISA D GROVE M.S.

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

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982986733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISA D GROVE M.S.

Provider Business Mailing Address
First Line	:	4408 BEDFORD WAY
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-1321
Country	:	US
Telephone Number	:	407-421-2031
Fax Number	:

Provider Business Practice Location Address
First Line	:	4408 BEDFORD WAY
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-1321
Country	:	US
Telephone Number	:	407-421-2031
Fax Number	:

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

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	05/30/2024

Similar Medicare Providers

1578956819 — MAXIHEALTH HOMECARE SPECIALISTS LLC
Practice Location Address:

1321 CITIZENS BLVD , STE B
LEESBURG, FL
34748-3957

Practice Phone: 352-360-8635
Practice Fax:

1124635081 — ALISA GROVE PA
Practice Location Address:

4408 BEDFORD WAY
LEESBURG, FL
34748-1321

Practice Phone: 407-421-2031
Practice Fax: 407-604-6497

1518738269 — THEO EVANS
Practice Location Address:

1321 CITIZENS BLVD STE C
LEESBURG, FL
34748-3946

Practice Phone: 352-702-3727
Practice Fax: 888-650-5089

1851162440 — COMMUNITY HEALTH ALLIANCE LLC
Practice Location Address:

1321 CITIZENS BLVD STE C
LEESBURG, FL
34748-3946

Practice Phone: 352-702-3727
Practice Fax: 888-650-5089

1922879527 — JENNIFER DAWN BAXLEY
Practice Location Address:

1321 CITIZENS BLVD STE C
LEESBURG, FL
34748-3946

Practice Phone: 352-702-3727
Practice Fax:

1982469185 — ALANNAH SHERRIANNE BARRETT MS
Practice Location Address:

1321 CITIZENS BLVD
LEESBURG, FL
34748-3957

Practice Phone: 352-577-9455
Practice Fax:

Directions to “ MS. ALISA D GROVE M.S.” 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.