MEDICARE: MR. FLOYD COLLINS GRIFFIN III LPC-IT

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
1	101YM0800X	Mental Health Counselor	8550-226	WI

General Provider Information

NPI Number	:	1982588646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FLOYD COLLINS GRIFFIN III LPC-IT

Provider Business Mailing Address
First Line	:	306 W HAMPTON AVE APT 212
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5404
Country	:	US
Telephone Number	:	414-458-4458
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 REGENCY CT # 202A
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-6167
Country	:	US
Telephone Number	:	855-607-8242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	03/09/2026

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