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

Tyrese Mykeil Grant

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922847813

Tyrese Mykeil Grant is an Addiction (Substance Use Disorder) Counselor in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

96 Wisteria Rd
Goose Creek, SC 29445-3495
Phone: (843) 797-7871
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (SC)

Record details

NPI number1922847813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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