Provider Demographics
NPI:1669044707
Name:GRANT, HAILEY MARIE (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:MARIE
Last Name:GRANT
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19218 RED CASCADE CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2474
Mailing Address - Country:US
Mailing Address - Phone:336-596-8135
Mailing Address - Fax:
Practice Address - Street 1:26077 NELSON WAY STE 901
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6694
Practice Address - Country:US
Practice Address - Phone:281-528-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0162841041C0700X
TX1041C0700X
TX1085501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical