=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710826912
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GRIFFIN PSYCHOLOGICAL CONSULTING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2026
-----------------------------------------------------
Last Update Date | 03/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1815 PORTLAND AVE STE 3
-----------------------------------------------------
City | WALLA WALLA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99362-2396
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-475-4567
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1444 STOVALL RD
-----------------------------------------------------
City | WALLA WALLA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99362-7310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-475-4567
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | JOSHUA SETH GRIFFIN
-----------------------------------------------------
Credential | MSW, LICSW
-----------------------------------------------------
Telephone | 503-475-4567
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------