Provider Demographics
NPI:1902993579
Name:GRIFFITHS, LORRAINE P (LCPC)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:P
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:S
Other - Last Name:PRYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 N INDUSTRIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:BRADLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60915
Mailing Address - Country:US
Mailing Address - Phone:815-933-0667
Mailing Address - Fax:815-933-0665
Practice Address - Street 1:4500 W 147TH ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445
Practice Address - Country:US
Practice Address - Phone:708-597-0032
Practice Address - Fax:708-597-0649
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional