Provider Demographics
NPI:1336024991
Name:THE GRIEF CENTER, LLC
Entity type:Organization
Organization Name:THE GRIEF CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CUTRINA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:CLAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-909-7836
Mailing Address - Street 1:29777 TELEGRAPH RD STE 4200
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7640
Mailing Address - Country:US
Mailing Address - Phone:610-909-7836
Mailing Address - Fax:610-909-7836
Practice Address - Street 1:29777 TELEGRAPH RD STE 4200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7640
Practice Address - Country:US
Practice Address - Phone:610-909-7836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty