Provider Demographics
NPI:1134091911
Name:GRANGER, DEBRA LEE (MS, CRC, LCMHCA)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LEE
Last Name:GRANGER
Suffix:
Gender:F
Credentials:MS, CRC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 HEALY DR STE 204
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1568
Mailing Address - Country:US
Mailing Address - Phone:336-499-9938
Mailing Address - Fax:
Practice Address - Street 1:3410 HEALY DR STE 204
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1568
Practice Address - Country:US
Practice Address - Phone:336-499-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health