Provider Demographics
NPI:1790902823
Name:WILLIAM L GRIFFIN JR CHRISTIAN COUNSELING CENTER INC
Entity Type:Organization
Organization Name:WILLIAM L GRIFFIN JR CHRISTIAN COUNSELING CENTER INC
Other - Org Name:CHRISTIAN COUNSELING CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATION PRES STAUTORY AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LAMSON
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:III
Authorized Official - Credentials:MED LPCC
Authorized Official - Phone:614-837-1744
Mailing Address - Street 1:181 WEST CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1212
Mailing Address - Country:US
Mailing Address - Phone:614-837-1744
Mailing Address - Fax:
Practice Address - Street 1:181 WEST CHURCH STREET
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1212
Practice Address - Country:US
Practice Address - Phone:614-837-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty