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

Irvin Shuhei Granstrom, MFT-I, CADC-I

Individual provider Rehabilitation Practitioner · NPI 1003519463

Irvin Shuhei Granstrom, MFT-I, CADC-I is a Rehabilitation Practitioner in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2023.

Licensed in
NV
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone: (702) 474-6450
Fax: (702) 474-6463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MI4457 (NV)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1003519463
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT-I , CADC-I
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

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