Provider Demographics
NPI:1720544489
Name:GRIFFITH, ULYLESIA ONDALENE (LCSW)
Entity Type:Individual
Prefix:
First Name:ULYLESIA
Middle Name:ONDALENE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 GOLF LAKES TRL APT 2156
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5019
Mailing Address - Country:US
Mailing Address - Phone:214-938-2122
Mailing Address - Fax:
Practice Address - Street 1:9600 GOLF LAKES TRL APT 2156
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5019
Practice Address - Country:US
Practice Address - Phone:214-938-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty