Provider Demographics
NPI:1295413839
Name:BROWN, GRIFFITH WILLIAM (LPC, MA)
Entity type:Individual
Prefix:
First Name:GRIFFITH
Middle Name:WILLIAM
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-1242
Mailing Address - Country:US
Mailing Address - Phone:614-371-9086
Mailing Address - Fax:
Practice Address - Street 1:11 GREEN ST
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-4028
Practice Address - Country:US
Practice Address - Phone:269-965-1148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty