Provider Demographics
NPI:1023554482
Name:WILLIAMS, TIFFANY CHANIELLE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:CHANIELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MRS
Other - First Name:TIFFANY
Other - Middle Name:CHANIELLE
Other - Last Name:WILLIAMS-GRIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:PO BOX 743
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-0743
Mailing Address - Country:US
Mailing Address - Phone:908-875-9756
Mailing Address - Fax:
Practice Address - Street 1:5648 VIA ROMANO DR APT E
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-6952
Practice Address - Country:US
Practice Address - Phone:908-772-4200
Practice Address - Fax:908-516-8525
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00347500101Y00000X
NJ37PC00829000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor