Provider Demographics
NPI:1972261519
Name:GRIFFIN, LINDA D (LPC-S, NCC, NCCC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPC-S, NCC, NCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5156 CASENTINO CT
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-8498
Mailing Address - Country:US
Mailing Address - Phone:318-265-2614
Mailing Address - Fax:
Practice Address - Street 1:5156 CASENTINO CT
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-8498
Practice Address - Country:US
Practice Address - Phone:318-265-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor