| Desiree Griffin, M.s., Lmhc | |
|
4609 Us Highway 17 Suite 1 Fleming Island FL 32003-4818 | |
| (904) 759-7462 | |
| (904) 269-0021 |
| Full Name | Desiree Griffin, M.s., Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4609 Us Highway 17, Fleming Island, Florida |
| Authorized Official Name and Position | Desiree Ann Griffin (LMHC) |
| Authorized Official Contact | 9047597462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Griffin, M.s., Lmhc 4609 Us Highway 17 Suite 1 Fleming Island FL 32003-4818 Ph: (904) 759-7462 | Desiree Griffin, M.s., Lmhc 4609 Us Highway 17 Suite 1 Fleming Island FL 32003-4818 Ph: (904) 759-7462 |
| NPI Number | 1326405184 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326405184 | NPI | - | NPPES |
| 11850334 | Other | FL | CAQH |
| Z011H | Other | FL | BCBS |
| 763896500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4968 (Florida) | Primary |
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