Provider Demographics
NPI:1477608230
Name:ERBYNN, TIFFANY MONIQUE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:MONIQUE
Last Name:ERBYNN
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 1:9603 CUSTER RD
Mailing Address - Street 2:#1118
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6514
Mailing Address - Country:US
Mailing Address - Phone:469-347-9817
Mailing Address - Fax:972-332-8796
Practice Address - Street 1:9603 CUSTER RD
Practice Address - Street 2:#1118
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-6514
Practice Address - Country:US
Practice Address - Phone:469-347-9817
Practice Address - Fax:972-332-8796
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7799101YM0800X
TX70356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health