Provider Demographics
NPI:1013014976
Name:GRIFFIN, LATOYIA KURBANE (LCSW)
Entity Type:Individual
Prefix:
First Name:LATOYIA
Middle Name:KURBANE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LATOYIA
Other - Middle Name:KURBANE
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 82251
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2251
Mailing Address - Country:US
Mailing Address - Phone:702-485-0430
Mailing Address - Fax:
Practice Address - Street 1:3375 S RAINBOW BLVD UNIT 82251
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89180-8908
Practice Address - Country:US
Practice Address - Phone:702-485-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0202511041C0700X
NY07073911041C0700X
NV5085C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical