Provider Demographics
NPI:1689964769
Name:GRIFFIN, JULIE E (PSY D, LMHC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PSY D, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4323 SILVER GLADE TRL
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1785
Mailing Address - Country:US
Mailing Address - Phone:502-457-3969
Mailing Address - Fax:812-748-0181
Practice Address - Street 1:4323 SILVER GLADE TRL
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1785
Practice Address - Country:US
Practice Address - Phone:502-457-3969
Practice Address - Fax:812-748-0181
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002871A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health