Teresia Davidson-Griffith, LPCA

Individual provider Active NPI Professional Counselor · Hyden, KY

NPI 1598097362 · NPPES record last updated Feb 4, 2010

Key facts

NPI
1598097362
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0487 (KY)
Practice address
28 Firehouse Lane
Hyden, KY 41749
Phone
(606) 672-4215
Fax
(606) 436-5797
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
0487KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky River Community Care, Inc Professional Past
since May 15, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0487 KY Yes

Addresses

Primary practice location

28 Firehouse Lane
Hyden, KY 41749

Mailing address

115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761

Other providers in Hyden, KY

All providers in Hyden, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.