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Grant Boatwright, LPC-A

NPI 1417725268 · on the registry since 2023 · sole proprietor

Practice

Address
3613 W Pioneer Pkwy Ste A
Pantego, TX 76013
Phone
(817) 646-6823
Organisation at this address
Vivify Counseling And Coaching Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas