Provider Demographics
NPI:1043415912
Name:BARTOLOMEI, TIFFANY M (LCPC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:M
Last Name:BARTOLOMEI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3505
Mailing Address - Country:US
Mailing Address - Phone:406-539-9990
Mailing Address - Fax:
Practice Address - Street 1:725 W ALDER ST STE 28
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4026
Practice Address - Country:US
Practice Address - Phone:406-539-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6953101YM0800X
MTBBH-LCPC-LIC-1393101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health