Individual
TIFFANY ELIZABETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
311 NORTH MAIN STREET, AMITY, AR 71921-9126
(870) 997-0960
Mailing address
1616 HIGHWAY 70 E, GLENWOOD, AR 71943-8735
(870) 997-0960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1805057
AR
101YP2500X
Professional Counselor
Primary
P2008065
AR
171M00000X
Case Manager/Care Coordinator
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—
Other
Enumeration date
01/08/2018
Last updated
05/28/2021
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