TIFFANY MEDLOCK


Address: 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174
Phone: 7044460391

TIFFANY MEDLOCK (NPI# 1962065961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962065961
Entity Type Individual
Full Name TIFFANY MEDLOCK
Credential LCMHCA
Practice Address 7825 Ballantyne Commons Pkwy
Ste 110
Charlotte
NC 28277-3174
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7044460391
Enumeration Date 2019-04-16
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
A14785 NC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
447 Billingsley Rd, Cottage A, Charlotte, NC 28211 7044442400

Office Location

Street Address 7825 BALLANTYNE COMMONS PKWY
STE 110
City CHARLOTTE
State NC
Zip Code 28277-3174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770572570 Paul J Tsahakis Orthopaedic Surgery 7825 Ballantyne Commons Pkwy, Suite 150, Charlotte, NC 28277-3174 2005-10-14
1629693932 Browne Medical Services, Pllc Clinic/Center 7825 Ballantyne Commons Pkwy, #360, Charlotte, NC 28277-2827 2020-06-11
1427516459 Emma Brayne Counselor 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 2019-03-08
1124593470 The Charlotte-mecklenburg Hospital Authority Social Worker 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 2018-10-12
1336620905 Sandra Tabolt Counselor 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 2018-08-22
1902391519 Laura Ann Baker Pharmacist 7825 Ballantyne Commons Pkwy, Charlotte, NC 28277-3174 2018-06-26
1396270468 Sona Medspa Physician Group, Pllc Dermatology 7825 Ballantyne Commons Pkwy, Suite 300, Charlotte, NC 28277-3174 2017-04-26
1811432503 Charles Rhyne Jr. Counselor 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 2017-01-04
1225405913 Ashley Marchi Physical Therapist 7825 Ballantyne Commons Pkwy, Suite 210, Charlotte, NC 28277-3174 2015-08-28
1003290875 Byron Coley Marriage & Family Therapist 7825 Ballantyne Commons Pkwy, Suite 110, Charlotte, NC 28277-3174 2015-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457962789 Art of Expression, Pllc Counselor 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 2020-08-11
1952925141 Leanna R Rice Counselor 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 2020-06-03
1902429772 Sunshine Care LLC Counselor 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 2020-05-27
1194348557 Immerse & Emerge Counseling Counselor 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 2020-05-20
1477174464 Oliver's Contracting, Consulting, & Counseling Services, Pllc Counselor 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 2020-04-30
1720619679 John Wesley Goodwin IIi Counselor 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 2020-01-30
1063059731 Justina Mame Adadewa Ankrah Counselor 3001 Buckleigh Dr, Charlotte, NC 28215-7538 2019-12-02
1538704051 Hattie M Williams Counselor 7517 Orr Rd, Charlotte, NC 28213-6544 2019-11-07
1720623390 Maylee Vazquez Counselor 201 Stetson Dr, Charlotte, NC 28262-3364 2019-11-07
1053955468 Hollis Wilson Counselor 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 2019-10-30
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Competitor

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City CHARLOTTE
Zip Code 28277

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Dataset Information

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.

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