Provider Demographics
NPI:1679847412
Name:ALLEN, TIFFANY L (LPC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:L
Last Name:ALLEN
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 1:1373 FOREST PARK CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3193
Mailing Address - Country:US
Mailing Address - Phone:720-515-7953
Mailing Address - Fax:
Practice Address - Street 1:401 E CLEVELAND ST STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2399
Practice Address - Country:US
Practice Address - Phone:720-515-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional