Organization
FROM THE DESK OF DR. YANCEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFINEE YANCEY LPC (CLINICAL SPECIALIST)
(757) 717-9569
Entity
Organization
Contact information
Practice address
4897 BENNETTS PASTURE RD #5354, SUFFOLK, VA 23435-2689
(888) 663-2475
(888) 663-2475
Mailing address
PO BOX 5354, SUFFOLK, VA 23435-0354
(888) 663-2475
(888) 663-2475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2019
Last updated
03/14/2024
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