Provider Demographics
NPI:1194580530
Name:FLINT GRIMES CONSULTING
Entity type:Organization
Organization Name:FLINT GRIMES CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-647-6638
Mailing Address - Street 1:PO BOX 109
Mailing Address - Street 2:
Mailing Address - City:MC DOWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24458-0109
Mailing Address - Country:US
Mailing Address - Phone:757-647-6638
Mailing Address - Fax:
Practice Address - Street 1:594 MALOY DR
Practice Address - Street 2:
Practice Address - City:MC DOWELL
Practice Address - State:VA
Practice Address - Zip Code:24458-2200
Practice Address - Country:US
Practice Address - Phone:757-647-6638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLINT GRIMES CONSUTLING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty