Provider Demographics
NPI:1609486174
Name:GRIFFIN, BENJAMIN (LPC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:BEN
Other - Middle Name:KNIGHT
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:8014 SAINT FILLANS LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-7861
Mailing Address - Country:US
Mailing Address - Phone:870-904-1752
Mailing Address - Fax:
Practice Address - Street 1:8014 SAINT FILLANS LN
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-7861
Practice Address - Country:US
Practice Address - Phone:870-904-1752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-08
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77775101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional