Provider Demographics
NPI:1801240155
Name:GRIMES, JANIE (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:JANIE
Middle Name:
Last Name:GRIMES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 KINGS CT
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1067
Mailing Address - Country:US
Mailing Address - Phone:940-453-0031
Mailing Address - Fax:
Practice Address - Street 1:207 W HICKORY ST
Practice Address - Street 2:SUITE 213
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4156
Practice Address - Country:US
Practice Address - Phone:940-218-6632
Practice Address - Fax:940-205-5016
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional