Provider Demographics
NPI:1427429224
Name:LATOYIA GRIFFIN, LLC
Entity type:Organization
Organization Name:LATOYIA GRIFFIN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CGP
Authorized Official - Phone:702-485-0430
Mailing Address - Street 1:PO BOX 82251
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2251
Mailing Address - Country:US
Mailing Address - Phone:702-485-0430
Mailing Address - Fax:
Practice Address - Street 1:6069 S FORT APACHE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5647
Practice Address - Country:US
Practice Address - Phone:702-485-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5085-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty