Individual
ANGELA MCKINNEY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5701 MABLETON PKWY SW STE 309, MABLETON, GA 30126-3360
(470) 495-3247
Mailing address
2390 GREYTHORNE CMNS, DOUGLASVILLE, GA 30135-8103
(404) 861-1594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004487
GA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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