Provider Demographics
NPI:1972831832
Name:GRIER, CAMILLE D (LPC)
Entity Type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:D
Last Name:GRIER
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 1:3263 FLOWERS RD S
Mailing Address - Street 2:APT L
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-6132
Mailing Address - Country:US
Mailing Address - Phone:770-880-9470
Mailing Address - Fax:678-829-0526
Practice Address - Street 1:2420 EASTGATE PL
Practice Address - Street 2:SUITE G-400
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6199
Practice Address - Country:US
Practice Address - Phone:770-880-9470
Practice Address - Fax:678-829-0526
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health