Provider Demographics
NPI:1982921763
Name:GRIFFIN, TERRA SHARRON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TERRA
Middle Name:SHARRON
Last Name:GRIFFIN
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 1:2532 OAKLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7239
Mailing Address - Country:US
Mailing Address - Phone:205-267-2143
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTHLAND DR STE 232
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35226-3735
Practice Address - Country:US
Practice Address - Phone:205-260-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional