Provider Demographics
NPI:1578798971
Name:GRIFFIN, BETTY J (LMFT, LPC, LCDC)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:J
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LMFT, LPC, LCDC
Other - Prefix:
Other - First Name:JEANIE
Other - Middle Name:
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1930 HOLLY DR APT 9A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-3874
Mailing Address - Country:US
Mailing Address - Phone:310-344-2299
Mailing Address - Fax:
Practice Address - Street 1:1930 HOLLY DR APT 9A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-3874
Practice Address - Country:US
Practice Address - Phone:310-344-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151101YA0400X
TX9646101YP2500X
CA42246106H00000X
TX1676106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional