Provider Demographics
NPI:1205108842
Name:CAPPS, TIFFANY SPEER (LPC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:SPEER
Last Name:CAPPS
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 1:143 RIDGEWAY DR STE 328
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3414
Mailing Address - Country:US
Mailing Address - Phone:337-445-8510
Mailing Address - Fax:337-279-1836
Practice Address - Street 1:143 RIDGEWAY DR STE 328
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3414
Practice Address - Country:US
Practice Address - Phone:337-445-8510
Practice Address - Fax:337-279-1836
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
LA4398101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional