Provider Demographics
NPI:1336981935
Name:TIMMONS, TIFFANY MORGAN (LCMHCA)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MORGAN
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 FLOYD ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27239-7698
Mailing Address - Country:US
Mailing Address - Phone:336-247-3960
Mailing Address - Fax:
Practice Address - Street 1:174 FLOYD ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:NC
Practice Address - Zip Code:27239-7698
Practice Address - Country:US
Practice Address - Phone:336-247-3960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health