Provider Demographics
NPI:1790286219
Name:GRIFFIN, MEGHAN (LPCC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4044 FRYE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2883
Mailing Address - Country:US
Mailing Address - Phone:716-560-5939
Mailing Address - Fax:
Practice Address - Street 1:4044 FRYE PARK CIR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2883
Practice Address - Country:US
Practice Address - Phone:716-560-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional