Provider Demographics
NPI:1073947230
Name:GRIFFITH, REBECCA (MA, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 HILLSBORO CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2708
Mailing Address - Country:US
Mailing Address - Phone:615-565-6278
Mailing Address - Fax:615-460-1104
Practice Address - Street 1:4041 HILLSBORO CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2708
Practice Address - Country:US
Practice Address - Phone:615-565-6278
Practice Address - Fax:615-460-1104
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health