Organization
TIFFANY DOUGLAS LCSW COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY N DOUGLAS LCSW (OWNER)
(910) 494-5886
Entity
Organization
Contact information
Practice address
6719 RUNNING FOX RD, HOPE MILLS, NC 28348-2993
(910) 494-5886
Mailing address
6719 RUNNING FOX RD, HOPE MILLS, NC 28348-2993
(910) 494-5886
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C012158
LCSW
NC
Enumeration date
01/23/2023
Last updated
01/23/2023
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