Provider Demographics
NPI:1295386530
Name:GRIFFIN, ADRIAN SHERRODE (QMHP-A)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:SHERRODE
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:QMHP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RESEARCH DR STE 101A
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1787
Mailing Address - Country:US
Mailing Address - Phone:757-239-7674
Mailing Address - Fax:
Practice Address - Street 1:22 RESEARCH DR STE 101A
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1787
Practice Address - Country:US
Practice Address - Phone:757-239-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0732006869101YM0800X
VA0732005677101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health