Provider Demographics
NPI:1851908974
Name:GRIGGS, KATI (LPC)
Entity Type:Individual
Prefix:
First Name:KATI
Middle Name:
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 1:1999 S MAIN ST STE 500D
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6639
Mailing Address - Country:US
Mailing Address - Phone:540-392-2243
Mailing Address - Fax:
Practice Address - Street 1:1999 S MAIN ST STE 500D
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6639
Practice Address - Country:US
Practice Address - Phone:540-392-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional