TIFFANY CONNELLY (NPI# 1093106395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093106395 |
| Entity Type | Individual |
| Full Name | TIFFANY CONNELLY |
| Credential | LPCA |
| Practice Address |
6 Park Sq Granite Falls NC 28630-1528 |
| Mailing Address |
2391 24th Street Ln Ne Hickory NC 28601-9101 |
| Practice Telephone | 8283964300 |
| Mailing Telephone | 8283207325 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
NC | Behavioral Health & Social Service Providers |
| Street Address |
6 PARK SQ |
| City | GRANITE FALLS |
| State | NC |
| Zip Code | 28630-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448906 | Kerri Dilsaver | Speech-Language Pathologist | 6 Park Sq, Granite Falls, NC 28630-1512 | 2006-09-17 |
| 1740458496 | Debra Greene Hawn | Speech-Language Pathologist | 6 Park Sq, Granite Falls, NC 28630-1528 | 2008-02-15 |
| 1881773570 | Melissa Clontz Austin | Counselor | 6 Park Sq, Granite Falls, NC 28630-1528 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1477943785 | Sarah Thompson | Pharmacist | 2630 Connelly Springs Road, Granite Falls, NC 28630 | 2015-01-26 |
| 1235577602 | Lesley Macinnes | Pediatrics | 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 | 2013-06-07 |
| 1538426648 | Cynthia Ann Hack | Physical Therapy Assistant | 100 Sunset St., Granite Falls, NC 28630 | 2012-04-13 |
| 1730330267 | Richelle C Miller | Nurse Practitioner | 160 River Bend Drive, Suite A, Granite Falls, NC 28630 | 2008-10-02 |
| 1043350804 | Community Pharmacy of Granite Falls, LLC | Pharmacy | 21 Falls Ave, Granite Falls, NC 28630 | 2007-02-08 |
| 1083706816 | David Lee Masters | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2006-09-29 |
| 1790720829 | Sally Rae Soucy | Advanced Practice Midwife | 4355 Hickory Blvd Ste 1, Granite Falls, NC 28630 | 2006-06-20 |
| 1184603896 | Kirsten Kerr | Legal Medicine | One Trade Street, Granite Falls, NC 28630 | 2006-01-11 |
| Find all providers in zip 28630 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366926263 | Michelle Harrold Stroebel | Counselor | 10a Falls Ave Ste 17, Granite Falls, NC 28630-1508 | 2018-09-18 |
| 1417259870 | Nancy Dale Mcdiarmid | Counselor | 3970 Henry Kaylor Ln, Granite Falls, NC 28630-7551 | 2010-11-17 |
| 1629693023 | Gaits of Hope, LLC | Counselor | 3970 Henry Kaylor Ln, Granite Falls, NC 28630-7551 | 2020-06-11 |
| 1881773570 | Melissa Clontz Austin | Counselor | 6 Park Sq, Granite Falls, NC 28630-1528 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 28630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.