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NPI Code Detail

MEDICARE: CODY GRIGGS LPCA

MEDICARE: CODY GRIGGS LPCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor271479KY
2101YP2500XProfessional Counselor271479KY

General Provider Information

NPI Number : 1285340257
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY GRIGGS LPCA
Provider Business Mailing Address
First Line : 200 BELMONT AVE
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2419
Country : US
Telephone Number : 606-687-2038
Fax Number : 606-200-3654
Provider Business Practice Location Address
First Line : 200 BELMONT AVE
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2419
Country : US
Telephone Number : 606-687-2038
Fax Number : 606-200-3654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 05/04/2026

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Directions to “ CODY GRIGGS LPCA” Practice Location

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