Provider Demographics
NPI:1992514772
Name:GRIGGS, TOSHA RENEE
Entity type:Individual
Prefix:DR
First Name:TOSHA
Middle Name:RENEE
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 S COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-9415
Mailing Address - Country:US
Mailing Address - Phone:817-403-6641
Mailing Address - Fax:
Practice Address - Street 1:115 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-9415
Practice Address - Country:US
Practice Address - Phone:817-403-6641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling