Individual
ANABEL CANILLAS GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1504 OGLETHORPE DR, HEPHZIBAH, GA 30815-0009
(443) 303-6307
Mailing address
1504 OGLETHORPE DR, HEPHZIBAH, GA 30815-0009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123794
NY
101YM0800X
Mental Health Counselor
16806
SC
101YM0800X
Mental Health Counselor
MSW011840
GA
104100000X
Social Worker
123794
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/24/2022
Last updated
10/17/2025
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