Provider Demographics
NPI:1114436565
Name:GRIFFIN, JASMINE RENEE BATISTE (LPC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:RENEE BATISTE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:RENEE
Other - Last Name:BATISTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ROSSER
Mailing Address - Street 1:7055 LARA CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-7220
Mailing Address - Country:US
Mailing Address - Phone:216-925-9986
Mailing Address - Fax:
Practice Address - Street 1:7055 LARA CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-7220
Practice Address - Country:US
Practice Address - Phone:216-925-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health