Individual
TIFFANY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
204 N RHODES ST, WEST MEMPHIS, AR 72301-3944
(870) 400-8080
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2412008
AR
Other
Enumeration date
01/03/2025
Last updated
08/26/2025
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