Provider Demographics
NPI:1225680275
Name:JAMES, TIFFANY BENAY (LPC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:BENAY
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14112 FARADAY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6594
Mailing Address - Country:US
Mailing Address - Phone:804-337-5337
Mailing Address - Fax:804-706-1741
Practice Address - Street 1:14112 FARADAY CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-6594
Practice Address - Country:US
Practice Address - Phone:804-337-5337
Practice Address - Fax:804-706-1741
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health