Provider Demographics
NPI:1215300017
Name:GRIFFIN, ASHA N (LPC)
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:N
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 WOODRUFF RD STE E1069
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4803
Mailing Address - Country:US
Mailing Address - Phone:864-214-6393
Mailing Address - Fax:864-568-7250
Practice Address - Street 1:2607 WOODRUFF RD STE E1069
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4803
Practice Address - Country:US
Practice Address - Phone:864-214-6393
Practice Address - Fax:864-568-7250
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC421504Medicaid
SC3335Medicare PIN