Organization
TIPTON CHILDRENS FACILITY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI TIPTON (EXECUTIVE DIRECTOR)
(828) 286-4708
Entity
Organization
Contact information
Practice address
521 E MAIN ST, SPINDALE, NC 28160
(828) 286-4708
(828) 286-2080
Mailing address
521 E MAIN ST, SPINDALE, NC 28160-1926
(828) 286-4708
(828) 286-2080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005357
—
NC
05
—
6107192
—
NC
05
—
6107202
—
NC
Enumeration date
03/30/2007
Last updated
05/12/2022
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