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NPI Code Detail

MEDICARE: ANDREA GRIFFIN LPC

MEDICARE: ANDREA GRIFFIN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC016834GA

General Provider Information

NPI Number : 1518778935
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA GRIFFIN LPC
Provider Business Mailing Address
First Line : 104 HARWELL AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-3132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 104 HARWELL AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-3132
Country : US
Telephone Number : 706-837-0045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 06/17/2026

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Directions to “ ANDREA GRIFFIN LPC” Practice Location

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