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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEAETTA GRINNAGE, LPC

Active

DEAETTA GRINNAGE, LPC is a Mental Health Counselor healthcare provider located in LOGANVILLE, Georgia. NPI 1548822398 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LOGANVILLE, GA

Registration Details

NPI Number
1548822398
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2019 (7.0970251195489 yrs)
Last Updated
Jan 6, 2023
License
LPC013200 (GA)

Practice Information

Address
299 COOPER RD STE B
LOGANVILLE, GA, 300522579
Browse GA providers · Browse ZIP 30052
Phone
7702174336
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in LOGANVILLE, GA

Name Credential NPI
MS. KIMBERLY HARRELL LITTRELL APRN 1376600288
LAUREN WILLIAMS MS, LPC, LCPC 1952675118
MR. ALEXANDER AMU LCPC, CCMHC 1528312576
STACY W FROELICH LCSW 1033539093
MISS ELIZABETH JOHNSON RN 1396135596
THOMI HOOTON 1548626013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.