Healthcare Provider Details

I. General information

NPI: 1679488415
Provider Name (Legal Business Name): GRIFFIN RUSSELL LAW LCMHC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 FAIRVIEW RD OFC 4
ASHEVILLE NC
28803-1171
US

IV. Provider business mailing address

37 CRESTVIEW ST
ASHEVILLE NC
28803-1311
US

V. Phone/Fax

Practice location:
  • Phone: 828-367-7719
  • Fax: 828-820-5503
Mailing address:
  • Phone: 828-367-7719
  • Fax: 828-820-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23540
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: