Provider Demographics
NPI:1821606757
Name:MEEGAN TIFFANY COUNSELING PLLC
Entity Type:Organization
Organization Name:MEEGAN TIFFANY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIFFANY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:980-689-1928
Mailing Address - Street 1:2000 PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5704
Mailing Address - Country:US
Mailing Address - Phone:919-697-1969
Mailing Address - Fax:
Practice Address - Street 1:226 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5022
Practice Address - Country:US
Practice Address - Phone:980-689-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEEGAN TIFFANY COUNSELING PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty