Provider Demographics
NPI:1346802683
Name:GRIFFITH, MELINDA (LPC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6153 QUEEN CT
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4471
Mailing Address - Country:US
Mailing Address - Phone:512-203-2120
Mailing Address - Fax:
Practice Address - Street 1:6153 QUEEN CT
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4471
Practice Address - Country:US
Practice Address - Phone:512-956-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77650101YP2500X
CO16738101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX77650OtherLICENSE NUMBER
CO16738OtherLICENSE NUMBER