Provider Demographics
NPI:1659914794
Name:GRIFFIN AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:GRIFFIN AND ASSOCIATES, LLC
Other - Org Name:GRIFFIN AND ASSOCIATES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:
Authorized Official - First Name:STARR
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:812-841-0464
Mailing Address - Street 1:2901 OHIO BLVD STE 116-7
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-2239
Mailing Address - Country:US
Mailing Address - Phone:812-917-7151
Mailing Address - Fax:812-638-4110
Practice Address - Street 1:2901 OHIO BLVD STE 116-7
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-2239
Practice Address - Country:US
Practice Address - Phone:812-917-7151
Practice Address - Fax:812-638-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN3000034960Medicaid
IN1659914794OtherMENTAL HEALTH COUNSELING
IN3000034960Medicaid