Amanda Griggs, LPC
Individual provider Active NPI Professional Counselor · Benton, LA
NPI 1649706136 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1649706136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5509 (LA)
- Practice address
- 110 Summit Dr
Benton, LA 71006-9393 - Phone
- (318) 617-6736
- NPI assigned
- May 3, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5509 | LA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5509 | LA | Yes |
Addresses
Primary practice location
110 Summit Dr
Benton, LA 71006-9393
Mailing address
110 Summit Dr
Benton, LA 71006-9393
Phone (318) 617-6736
Other providers in Benton, LA
- Danielle Kay Freeman
- Rachel Dyann Gallon
- Janee Rogers Gibbs
- Christy Leah Gonzalez
- Kourtney Kennedy Gonzalez
- Grow & Tell LLC
- Hard Parts & Supplies Inc
- Noah Hartline
- George D Heard
- Heart of Louisiana Transportation Services
All providers in Benton, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.