Healthcare Provider Details

I. General information

NPI: 1982955282
Provider Name (Legal Business Name): CINDY MARIE GRIFFING LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 MAIN ST
GENESEO NY
14454-1263
US

IV. Provider business mailing address

7552 STATE ROUTE 63 N
DANSVILLE NY
14437-8938
US

V. Phone/Fax

Practice location:
  • Phone: 585-260-6744
  • Fax:
Mailing address:
  • Phone: 585-245-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18 004953
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: