Most Relevant Information
Provider Data
| NPI Number: | 1003229428 |
| Provider Name: | TIJUAN GRIMES MA, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH12537 |
Most Important Dates
| Enumeration Date: | 06/03/2014 |
| Last Updated: | 06/03/2014 |
Provider Practice Location
3180 ENTERPRISE RD E
SAFETY HARBOR
FL
346955205
Practice Location Phone/Fax
| Phone: | 7277254761 |
| Fax: |
Provider Mailing Location
3180 ENTERPRISE RD E
SAFETY HARBOR
FL
346955205
Provider Mailing Phone/Fax
| Phone: | 7277254761 |
| Fax: |