Individual
TIFFANY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1814 ST JOHN RD, BRAXTON, MS 39044-9470
(601) 942-5382
Mailing address
1814 ST JOHN RD, BRAXTON, MS 39044-9470
(601) 942-5382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC2607
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCPC
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCPC7842
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC2607
MS
101YM0800X
Mental Health Counselor
LCPC7842
ID
101YM0800X
Mental Health Counselor
LPC2607
MS
Other
Enumeration date
07/08/2016
Last updated
12/19/2025
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