Tiffany Green, MED, NCC, LPC
Counselor, Professional in Fort Worth, Texas
1336801281- Practice location
- 1408 Mark CT, Fort Worth, TX 76108-3568
- Phone
- 203-912-0254
- Fax
- —
- Last updated
- October 7, 2021
Tiffany Green is a Counselor, Professional based in Fort Worth, TX. Tiffany Green practices in Fort Worth, TX and has the professional credentials of MED, NCC, LPC. The NPI Number for Tiffany Green is 1336801281 and holds a License No. 5194 (CT). The current practice location address for Tiffany Green is 1408 Mark CT, Fort Worth, TX 76108-3568 and can be reached out via phone at 203-912-0254.
Provider Profile Details
- NPI Number
- 1336801281
- Provider Name
- Tiffany Green
- Credential
- MED, NCC, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1408 Mark CT, Fort Worth, TX 76108-3568
- Phone Number
- 203-912-0254
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 7, 2021
- Last Update Date
- October 7, 2021
- Certification Date
- May 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1408 Mark CT
Fort Worth, TX 76108-3568 - City
- Fort Worth
- State
- Texas
- Zip
- 76108-3568
- Phone Number
- 203-912-0254
Provider Business Mailing Address Details
- Address
- Po Box 27280
West Haven, CT 06516-8280 - City
- West Haven
- State
- CT
- Zip
- 06516-8280
- Phone Number
- 203-912-0254
License Information
- License Number
- 5194
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tiffany Green, MED, NCC, LPC?
The NPI number of Tiffany Green, MED, NCC, LPC is 1336801281. It was assigned on October 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Tiffany Green, MED, NCC, LPC?
Tiffany Green, MED, NCC, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5194.
Where does Tiffany Green, MED, NCC, LPC practice?
The practice location is 1408 Mark CT, Fort Worth, TX 76108-3568. The office can be reached at 203-912-0254 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336801281 directly on the NPPES registry website.