| Griffin Therapy, Pllc | |
|
2501 Chatham Rd Ste 8056 Springfield IL 62704-4188 | |
| (919) 909-2279 | |
| Not Available |
| Full Name | Griffin Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2501 Chatham Rd Ste 8056, Springfield, Illinois |
| Authorized Official Name and Position | Kelly Griffin (FOUNDING MEMBER) |
| Authorized Official Contact | 9199092279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin Therapy, Pllc 2501 Chatham Rd Ste 8056 Springfield IL 62704-4188 Ph: (919) 909-2279 | Griffin Therapy, Pllc 2501 Chatham Rd Ste 8056 Springfield IL 62704-4188 Ph: (919) 909-2279 |
| NPI Number | 1740008283 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740008283 | NPI | - | NPPES |
| 1619569605 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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