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

MS. Keronica Grant

Individual provider Mental Health Counselor · NPI 1639803398

MS. Keronica Grant is a Mental Health Counselor in Valley Stream, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105
Phone: (516) 668-6774
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639803398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2022
Last updated in NPPESJuly 10, 2022
Certification dateJuly 10, 2022
Mailing address108 S Franklin Ave, Valley Stream, NY 11580-6105

Other providers in Valley Stream