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Alisa Grove PA

Mental Health Counselor in Leesburg, FL · enumerated 2020 · authorized official Alisa Grove, Owner/ President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124635081

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Registry record

Entity type Organization (Type 2)
Legal business name Alisa Grove PA
Other name <Unavail>
Parent organization Alisa Grove PA
Practice address 4408 Bedford Way, Leesburg, FL, 34748
Phone (407) 421-2031
Fax (407) 604-6497
Enumeration date Sep 24, 2020
Last updated in NPPES May 30, 2024

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
102L00000X Psychoanalyst Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

Authorized official

Name Alisa Grove
Title Owner/ President
Phone (407) 421-2031

Other identifiers

Identifier Type State Issuer
122073300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Alisa Grove PA?
NPPES lists Alisa Grove (Owner/ President) as the authorized official for this organization.
What is the NPI number for Alisa Grove PA?
The NPI for Alisa Grove PA is 1124635081, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-30.