NPI 1043600828

Portia Grimes, LPC

Practitioner Professional Counselor Dacula, GA

Practice location

Address: 2995 Old Peachtree Rd APT 430, Dacula, GA 30019-2285
Phone: (470) 893-3593
Fax: (678) 691-4366

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401013318 (MI)

Other Counselor providers in Georgia →

Registry record

NPI: 1043600828
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2015
Record last updated: 12 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.