Griggs, Jill H

Griggs, Jill H is an sole proprietor health care provider with primary practice located at 750 Broadmoor Blvd Ne Ste E , Rio Rancho NM 87124-3442. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Griggs, Jill H can be contacted via phone (505) 655-7949.

Contact Information

Primary practice address
750 Broadmoor Blvd Ne Ste E Rio Rancho NM 87124-3442
Fax: (877) 440-8944
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CCMH0158231 New Mexico

Profile Details

NPI number 1144459603
LBN Legal business name Griggs, Jill H
Credentials MA, LPCC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Jul 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144459603 NPPES
New Mexico MEDICAID 97739260

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