Individual
MS. TIARRA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LPC-MHSP, CCTP
Contact information
Practice address
6584 POPLAR AVE STE 29, MEMPHIS, TN 38138-3687
(901) 205-9136
Mailing address
6416 PINEY RIVER RD, BARTLETT, TN 38135-1169
(901) 857-1352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178015821
IL
101YM0800X
Mental Health Counselor
Primary
180015204
IL
101YM0800X
Mental Health Counselor
6919
TN
Other
Enumeration date
07/16/2020
Last updated
04/15/2025
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