Provider Demographics
NPI:1386967925
Name:REID-JOHNSON, TIFFINEA MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:TIFFINEA
Middle Name:MICHELLE
Last Name:REID-JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 MEDICAL CENTER PKWY STE 1560
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3758
Mailing Address - Country:US
Mailing Address - Phone:931-801-5020
Mailing Address - Fax:931-553-4176
Practice Address - Street 1:2615 MEDICAL CENTER PKWY STE 1560
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3758
Practice Address - Country:US
Practice Address - Phone:931-801-5020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical