Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anisa D Grantham, LPC, NCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619014255

Anisa D Grantham, LPC, NCAC is an Addiction (Substance Use Disorder) Counselor in Rincon, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

613 Towne Park Dr W Ste 103
Rincon, GA 31326-9098
Phone: (912) 826-0918
Fax: (912) 826-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 004189 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (GA)

Record details

NPI number1619014255
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCAC
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 14, 2015
Mailing address613 Towne Park Dr W Ste 103, Po Box 1834, Rincon, GA 31326-9098

Other providers in Rincon