Healthcare Provider Details

I. General information

NPI: 1750456919
Provider Name (Legal Business Name): PAMELA J GRIGGS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18402 N 19TH AVE # 1008
PHOENIX AZ
85023-1361
US

IV. Provider business mailing address

18402 N 19TH AVE # 1008
PHOENIX AZ
85023-1361
US

V. Phone/Fax

Practice location:
  • Phone: 509-668-9122
  • Fax: 480-553-8904
Mailing address:
  • Phone: 509-668-9122
  • Fax: 480-553-8904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00005228
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC12217
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: