Provider Demographics
NPI:1750456919
Name:GRIGGS, PAMELA J (LPC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18402 N 19TH AVE # 1008
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-1361
Mailing Address - Country:US
Mailing Address - Phone:509-668-9122
Mailing Address - Fax:480-553-8904
Practice Address - Street 1:18444 N 25TH AVE SUITE 420
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-1361
Practice Address - Country:US
Practice Address - Phone:509-668-9122
Practice Address - Fax:480-553-8904
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC12217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional