Letecia Renee Griffin, ALC03821

Individual provider Active NPI Mental Health Counselor · Chancellor, AL

NPI 1114799863 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1114799863
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
ALC03821 (AL)
Practice address
930 Private Road 1601
Chancellor, AL 36316-7268
Phone
(334) 237-1093
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ALC03821ALMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC03821 AL Yes

Addresses

Primary practice location

930 Private Road 1601
Chancellor, AL 36316-7268

Mailing address

930 Private Road 1601
Chancellor, AL 36316-7268
Phone (334) 237-1093

Other providers in Chancellor, AL

All providers in Chancellor, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.