Provider Demographics
NPI:1891386736
Name:UZOR, TIFFANY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:UZOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:ANN
Other - Last Name:DAUCHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6380 LBJ FWY STE 294
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6434
Mailing Address - Country:US
Mailing Address - Phone:214-494-0284
Mailing Address - Fax:
Practice Address - Street 1:6380 LBJ FWY STE 294
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6434
Practice Address - Country:US
Practice Address - Phone:214-494-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79309101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional