Provider Demographics
NPI:1134156243
Name:HARRINGTON, TIFFINY LYNN (MSW)
Entity type:Individual
Prefix:MS
First Name:TIFFINY
Middle Name:LYNN
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:TIFFINY
Other - Middle Name:LYNN
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:707 E MANSION ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-1239
Mailing Address - Country:US
Mailing Address - Phone:269-966-5600
Mailing Address - Fax:269-966-5429
Practice Address - Street 1:707 E MANSION ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-1239
Practice Address - Country:US
Practice Address - Phone:269-966-5600
Practice Address - Fax:269-966-5429
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68020842091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical