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General NPI Number Information
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NPI Number | 1932239910
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Entity Type | Organization
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Legal Business Name | GRIFFITH COUNSELING, INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 SW 6TH ST
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City | STUART
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State | FL
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Zip | 34994-2916
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Country | US
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Telephone | 772-781-7644
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Fax | 772-781-7219
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Provider Business Mailing Address
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Address Line | 201 SW 6TH ST
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City | STUART
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State | FL
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Zip | 34994-2916
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Country | US
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Telephone | 772-781-7644
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRACY GRIFFITH
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Credential | PH.D.
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Telephone | 772-781-7644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 0005461
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 0004935
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License Number State | FL
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