Provider Demographics
NPI:1720820673
Name:GRANT, ARNITA
Entity type:Individual
Prefix:
First Name:ARNITA
Middle Name:
Last Name:GRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 WINGED FOOT DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3670
Mailing Address - Country:US
Mailing Address - Phone:410-446-5964
Mailing Address - Fax:
Practice Address - Street 1:10805 HICKORY RIDGE RD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3868
Practice Address - Country:US
Practice Address - Phone:410-387-2763
Practice Address - Fax:410-387-2764
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30968104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker