MEDICARE: GRANT STUART

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	MC70028755	WA

General Provider Information

NPI Number	:	1992697015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRANT STUART

Provider Business Mailing Address
First Line	:	1064 E THOMAS ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5431
Country	:	US
Telephone Number	:	503-926-3304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1064 E THOMAS ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5431
Country	:	US
Telephone Number	:	503-926-3304
Fax Number	:

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

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	01/12/2026

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Directions to “ GRANT STUART ” Practice Location

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