Organization Name: | DESIREE GRIFFIN, M.S., LMHC |
NPI Number: | 1326405184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DESIREE ANN GRIFFIN (LMHC) |
Mailing Address: | 4609 Us Highway 17 Suite 1 Fleming Island |
State: | FL US |
Postal Code: | 320034818 |
Phone Number: | 9047597462 |
Fax Number: | 9042690021 |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH4968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |