# GRANT TELEPSYCHIATRY FOR WOMEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275146458
- **Authorized official:** TSHAUN GRANT PMHNP (OWNER)
- **Authorized official phone:** (888) 980-9166

## Contact information

- **Practice address:** 13051 ABERCORN ST STE B3-720, SAVANNAH, GA 31419-1954
- **Practice address phone:** (888) 980-9166
- **Mailing address:** 13051 ABERCORN ST STE B3-720, SAVANNAH, GA 31419-1954
- **Mailing address phone:** (912) 344-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 12/23/2021