Provider Demographics
NPI:1265034326
Name:GRIFFIN, ASHLEY M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 MILTON ST STE 231
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3930
Mailing Address - Country:US
Mailing Address - Phone:214-494-9317
Mailing Address - Fax:844-840-7304
Practice Address - Street 1:5646 MILTON ST STE 231
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3930
Practice Address - Country:US
Practice Address - Phone:214-494-9317
Practice Address - Fax:844-840-7304
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX203250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203250OtherLICENSE