Provider Demographics
NPI:1699100339
Name:GRISWOLD, MISTY MORRISON (LPCC)
Entity type:Individual
Prefix:MRS
First Name:MISTY
Middle Name:MORRISON
Last Name:GRISWOLD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:MISTY
Other - Middle Name:MORRISON
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:2901 PIGEON ROOST RD
Mailing Address - Street 2:
Mailing Address - City:RUSH
Mailing Address - State:KY
Mailing Address - Zip Code:41168-8132
Mailing Address - Country:US
Mailing Address - Phone:606-928-6648
Mailing Address - Fax:606-547-4348
Practice Address - Street 1:2901 PIGEON ROOST RD
Practice Address - Street 2:
Practice Address - City:RUSH
Practice Address - State:KY
Practice Address - Zip Code:41168-8132
Practice Address - Country:US
Practice Address - Phone:606-928-6648
Practice Address - Fax:606-547-4348
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0969101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor