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General NPI Number Information
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NPI Number | 1265012249
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Entity Type | Organization
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Legal Business Name | GRIFFIN COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 10504 CASTILE RD
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City | HENRICO
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State | VA
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Zip | 23238-5772
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Country | US
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Telephone | 919-434-4098
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Fax |
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Provider Business Mailing Address
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Address Line | 10504 CASTILE RD APT 1B
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City | HENRICO
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State | VA
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Zip | 23238-5772
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Country | US
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Telephone | 919-656-2393
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. TWONYA COLLINS
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Credential | LCSW
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Telephone | 919-434-4098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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