ERICA R. GRIFFIN LLC


Address: 561 Poole Melton Rd, Blythe, GA 30805-3813
Phone: 7739545022

ERICA R. GRIFFIN LLC (NPI# 1356717797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356717797
Entity Type Organization
Organization Name ERICA R. GRIFFIN LLC
Practice Address 561 Poole Melton Rd
Blythe
GA 30805-3813
Practice Telephone 7739545022
Mailing Telephone 7739545022
Enumeration Date 2015-08-20
Last Update Date 2015-08-20
Authorized Official Name ERICA R GRIFFIN (OWNER)
Authorized Official Telephone 7739545022
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC007543 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003144054A 05

Office Location

Street Address 561 POOLE MELTON RD
City BLYTHE
State GA
Zip Code 30805-3813

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1356520696 Sandra Arlene Adams Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4064 Bath Edie Rd, Blythe, GA 30805-3600 2007-11-02
1043541709 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4064 Bath Edie Rd, Blythe, GA 30805-3600 2010-01-20
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1235624081 Tiffany Elaine Wade Dentist 146 S Broadway, Blythe, CA 92225-2502 2018-06-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City BLYTHE
Zip Code 30805

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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