TIFFANY MEDLOCK (NPI# 1962065961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
A14785 | NC | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 7044442400 |
Street Address |
7825 BALLANTYNE COMMONS PKWY STE 110 |
City | CHARLOTTE |
State | NC |
Zip Code | 28277-3174 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28277 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in CHARLOTTE |
Please comment or provide details below to improve the information on TIFFANY MEDLOCK.
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.