Griffin, Dana Ann
Griffin, Dana Ann is an sole proprietor health care provider with primary practice located at 1226 Royal Dr Sw Suite D, Conyers GA 30094-5925. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Griffin, Dana Ann can be contacted via phone (678) 658-0645.Contact Information
Primary practice address
1226 Royal Dr Sw Suite D
Conyers GA 30094-5925
Phone: (678) 658-0645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC001292 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005372 | Georgia |
Profile Details
| NPI number | 1578691150 |
|---|---|
| LBN Legal business name | Griffin, Dana Ann |
| Credentials | EDD, LPC, CPCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | May 19th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578691150 | NPPES |
| Georgia | MEDICAID | 512392223C |
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