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Contact Information

TIMOTHY L GRANT, MHPP
3111 S 70TH ST
FORT SMITH, AR72903-5017
 Phone: 479-452-6650
 Fax: 479-458-5847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TIMOTHY L GRANT · (Male)

NPI Number 1265542641
Status Active
Credentials MHPP
Entity Individual
Enumeration date 08/30/2006
Last updated 08/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AR License # LADAC 0190L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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