Basic Information
| Provider Information | |||||||||
| NPI: | 1407932627 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRIFFIN | ||||||||
| FirstName: | CLAUDIA | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | BA., MHSA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3041 GETWELL RD | ||||||||
| Address2: | ADC RECOVERY & COUNSELING CENTER | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381183737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013751050 | ||||||||
| FaxNumber: | 9013751588 | ||||||||
| Practice Location | |||||||||
| Address1: | 3810 WINCHESTER | ||||||||
| Address2: | SOUTHEAST MENTAL HEALTH CTR | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381189007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013691420 | ||||||||
| FaxNumber: | 9013691433 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2006 | ||||||||
| LastUpdateDate: | 09/10/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator | 101YA0400X | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.