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DOMONIQUE JATERRYL GRIFFITH NPI 1245873801


NPI Information

NPI: 1245873801
Provider Name: DOMONIQUE JATERRYL GRIFFITH
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
11 WOODSTONE PLZ STE D
HATTIESBURG, MS
ZIP 39402
Phone: (769) 390-7234
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Domonique Jaterryl Griffith is a counselor in Hattiesburg, MS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Domonique Jaterryl Griffith NPI is 1245873801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 WOODSTONE PLZ STE D
HATTIESBURG, MS
ZIP 39402-342
Phone: (769) 390-7234

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.