Healthcare Provider Details

I. General information

NPI: 1184288748
Provider Name (Legal Business Name): JANET GRIFFIS KIRCHER LPC-INTERN, LMFT-ASS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W 51ST ST UNIT 1
AUSTIN TX
78756-2659
US

IV. Provider business mailing address

2501 GERONIMO TRL
AUSTIN TX
78734-3010
US

V. Phone/Fax

Practice location:
  • Phone: 512-201-4501
  • Fax:
Mailing address:
  • Phone: 512-870-7941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number203145
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number79281
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: