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Tiffany Lynn Medlock, LCMHCA
Counselor in Charlotte, North Carolina
NPI 1962065961

Tiffany Lynn Medlock is a Counselor based in Charlotte, NC. Tiffany Lynn Medlock practices in Charlotte, NC and has the professional credentials of LCMHCA. The NPI Number for Tiffany Lynn Medlock is 1962065961 and holds a License No. A14785 (North Carolina).

The current practice location address for Tiffany Lynn Medlock is 7825 Ballantyne Commons Pkwy, Charlotte, NC and can be reached out via phone at 704-446-0391.

Location: 7825 Ballantyne Commons Pkwy, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962065961
Provider Name
Tiffany Lynn Medlock
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Female
Address
7825 Ballantyne Commons Pkwy, Charlotte, NC, 28219-9305
Phone Number
704-446-0391
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7825 Ballantyne Commons Pkwy
City
Charlotte
State
North Carolina
Zip
28277-3174
Phone Number
704-446-0391
Fax Number
person
Provider Business Mailing Address Details
Address
7825 Ballantyne Commons Pkwy
City
Charlotte
State
North Carolina
Zip
28277-3174
Phone Number
704-446-0391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
A14785 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A14785 (North Carolina)
Definition
Definition to come...
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