Provider Demographics
NPI:1386518975
Name:GILMORE, TIFFANY DARLENE (LPC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DARLENE
Last Name:GILMORE
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 1:7615 CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6333
Mailing Address - Country:US
Mailing Address - Phone:214-893-6364
Mailing Address - Fax:
Practice Address - Street 1:7615 CORONADO DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-6333
Practice Address - Country:US
Practice Address - Phone:214-893-6364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional