Provider Demographics
NPI:1942974217
Name:BROOKS, TIFFANY P (PHD, NCC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:P
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PHD, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7307 FLAGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8783
Mailing Address - Country:US
Mailing Address - Phone:423-650-8192
Mailing Address - Fax:
Practice Address - Street 1:7307 FLAGSTONE DR
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8783
Practice Address - Country:US
Practice Address - Phone:423-650-8192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor