Provider Demographics
NPI:1487474185
Name:GRIFFIN, MELISSA G (QHHT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:G
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:QHHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17028 JOHN MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-3393
Mailing Address - Country:US
Mailing Address - Phone:512-779-5147
Mailing Address - Fax:
Practice Address - Street 1:17028 JOHN MICHAEL DR
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-3393
Practice Address - Country:US
Practice Address - Phone:512-779-5147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health