Organization
ERICA R. GRIFFIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA R GRIFFIN LPC (OWNER)
(773) 954-5022
Entity
Organization
Contact information
Practice address
561 POOLE MELTON RD, BLYTHE, GA 30805-3813
(773) 954-5022
Mailing address
561 POOLE MELTON RD, BLYTHE, GA 30805-3813
(773) 954-5022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007543
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144054A
—
GA
Enumeration date
08/20/2015
Last updated
08/20/2015
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