Provider Demographics
NPI:1598599391
Name:MCGRIFF, KENYA (LGPC)
Entity type:Individual
Prefix:
First Name:KENYA
Middle Name:
Last Name:MCGRIFF
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NEWBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-3632
Mailing Address - Country:US
Mailing Address - Phone:410-499-4833
Mailing Address - Fax:
Practice Address - Street 1:10220 S DOLFIELD RD STE 204
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3624
Practice Address - Country:US
Practice Address - Phone:410-499-4833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional