MRS. TIFFANY MICHELLE GRAHAM (NPI# 1548746605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548746605 |
Entity Type | Individual |
Full Name | MRS. TIFFANY MICHELLE GRAHAM |
Credential | MA, LCMHC-A, LCAS-A |
Practice Address |
9823 Cooper Run Ln Charlotte NC 28269 |
Practice Telephone | 9194780248 |
Practice Fax Number | 7049195490 |
Mailing Telephone | 9194780248 |
Mailing Fax Number | 7049195490 |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-21224 | NC | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
A16081 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548895816 | Tiffany E Graham | Counselor | 6705 Bulrush Ct, Greenacres, FL 33413-3486 | 2020-03-07 |
1407387285 | Tiffany Mari Graham | Rehabilitation Practitioner | 9070 Big Sam Ct, Las Vegas, NV 89148-5087 | 2017-03-23 |
1578859997 | Tiffany Lynn Graham | Chiropractor | 1712 W Uintah St, Colorado Springs, CO 80904-2958 | 2011-06-23 |
1174754303 | Tiffany Graham | Orthotist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75390 | 2009-08-05 |
1134597727 | Tiffany Marie Graham | Nurse Practitioner | 21600 Highway 99 Ste 260, Edmonds, WA 98026-8049 | 2015-09-13 |
1285011940 | Tiffany Marie Graham | Pathology | 1010 Airpark Center Dr, Nashville, TN 37217-5200 | 2015-05-01 |
Street Address |
9823 COOPER RUN LN |
City | CHARLOTTE |
State | NC |
Zip Code | 28269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709920 | Stephanie Michelle Mcgee | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269-8327 | 2020-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
1447746912 | Speech Possible, Pllc | Speech-Language Pathologist | 4323 Kobuk Ln, Charlotte, NC 28269 | 2018-07-07 |
Find all providers in zip 28269 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
Find all providers in CHARLOTTE |
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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.