Provider Demographics
NPI:1194134346
Name:GRIFFIN, JAMIE (LCMHC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 S 400 E
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:UT
Mailing Address - Zip Code:84647-2130
Mailing Address - Country:US
Mailing Address - Phone:852-545-4133
Mailing Address - Fax:
Practice Address - Street 1:530 S 400 E
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:UT
Practice Address - Zip Code:84647-2130
Practice Address - Country:US
Practice Address - Phone:852-545-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
UT8476070-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health