Provider Demographics
NPI:1972931848
Name:GRANT, KARTER KENCY (LMHC, NCC)
Entity type:Individual
Prefix:MR
First Name:KARTER
Middle Name:KENCY
Last Name:GRANT
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:KENCY
Other - Middle Name:
Other - Last Name:GILET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, NCC
Mailing Address - Street 1:15 BENTON DR STE 11
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3231
Mailing Address - Country:US
Mailing Address - Phone:413-342-1756
Mailing Address - Fax:
Practice Address - Street 1:15 BENTON DR STE 11
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3232
Practice Address - Country:US
Practice Address - Phone:413-342-1756
Practice Address - Fax:413-707-1410
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10697101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health