Individual
MRS. AMY L GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3570 WATKINS LAKE RD, WATERFORD, MI 48328-1473
(810) 962-5831
Mailing address
3570 WATKINS LAKE RD, WATERFORD, MI 48328-1473
(810) 962-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401015163
MI
101YM0800X
Mental Health Counselor
6401015163
MI
Other
Enumeration date
11/27/2017
Last updated
08/26/2025
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