person
Mr. Timothy Lee Grant, MHPP
Addiction (Substance Use Disorder) Counselor in Fort Smith, Arkansas
NPI 1265542641

Timothy Lee Grant is an Addiction (Substance Use Disorder) Counselor based in Fort Smith, AR and is specialized in Addiction (Substance Use Disorder). Timothy Lee Grant practices in Fort Smith, AR and has the professional credentials of MHPP. The NPI Number for Timothy Lee Grant is 1265542641 and holds a License No. (Arkansas).

The current practice location address for Timothy Lee Grant is 3111 S 70Th St, Fort Smith, AR and can be reached out via phone at 479-452-6650 and via fax at 479-458-5847. You can also correspond with Timothy Lee Grant through the mailing address at PO BOX 11818, FORT SMITH, AR - 72917-1818 (mailing address contact number: 479-452-6650).

Location: 3111 S 70Th St, Fort Smith, AR, 72917-1818
person
Provider Profile Details
NPI Number
1265542641
Provider Name
Timothy Lee Grant
Credential
MHPP
Provider Entity Type
Individual
Gender
Male
Address
3111 S 70Th St, Fort Smith, AR, 72917-1818
Phone Number
479-452-6650
Fax Number
479-458-5847
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3111 S 70Th St
City
State
Zip
72903-5017
Phone Number
479-452-6650
Fax Number
479-458-5847
person
Provider Business Mailing Address Details
Address
Po Box 11818
City
State
Zip
72917-1818
Phone Number
479-452-6650
Fax Number
479-458-5847
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LADAC 0190L (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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