Provider Demographics
NPI:1639418775
Name:SOIGNOLI, TIFFANY (LMFT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:SOIGNOLI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SULLIVAN LN
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-5047
Mailing Address - Country:US
Mailing Address - Phone:910-988-5844
Mailing Address - Fax:
Practice Address - Street 1:519 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4911
Practice Address - Country:US
Practice Address - Phone:910-988-5844
Practice Address - Fax:910-436-4142
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-09
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1583106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist