Provider Demographics
NPI:1760059968
Name:GRIFFITH, CHANICKA LYNNYETTA (LPC)
Entity Type:Individual
Prefix:
First Name:CHANICKA
Middle Name:LYNNYETTA
Last Name:GRIFFITH
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 1:3307 RIPPLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-5721
Mailing Address - Country:US
Mailing Address - Phone:281-827-1130
Mailing Address - Fax:
Practice Address - Street 1:3307 RIPPLEBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-5721
Practice Address - Country:US
Practice Address - Phone:281-827-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health