Provider Demographics
NPI:1588056287
Name:GRIFFIN, TAMRA CAMILLE (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:CAMILLE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 W PINHOOK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3453
Mailing Address - Country:US
Mailing Address - Phone:337-450-9910
Mailing Address - Fax:
Practice Address - Street 1:3110 W PINHOOK RD STE 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3453
Practice Address - Country:US
Practice Address - Phone:337-234-8221
Practice Address - Fax:337-233-6534
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health