Provider Demographics
NPI:1164227450
Name:GRIFFITH, MCKAYLA CHEYANNE
Entity type:Individual
Prefix:
First Name:MCKAYLA
Middle Name:CHEYANNE
Last Name:GRIFFITH
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 1:28857 LIME CITY RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3906
Mailing Address - Country:US
Mailing Address - Phone:309-313-5290
Mailing Address - Fax:
Practice Address - Street 1:28857 LIME CITY RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3906
Practice Address - Country:US
Practice Address - Phone:309-313-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician