Provider Demographics
NPI:1801500111
Name:TIERNEY, PAUL FRANCIS III (LPC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:FRANCIS
Last Name:TIERNEY
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-1125
Mailing Address - Country:US
Mailing Address - Phone:205-401-3895
Mailing Address - Fax:
Practice Address - Street 1:2205 3RD AVE N
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-1125
Practice Address - Country:US
Practice Address - Phone:205-401-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC03385101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor