Tiffany Lenger, LPC

Individual provider Active NPI Professional Counselor · St. James, MO

NPI 1073997367 · NPPES record last updated Dec 21, 2022

Key facts

NPI
1073997367
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2015040226 (MO)
Practice address
13160 County Rd 3610
St. James, MO 65559
Phone
(573) 899-7124
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015040226MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015040226 MO Yes

Addresses

Primary practice location

13160 County Rd 3610
St. James, MO 65559

Mailing address

13160 County Road 3610
Saint James, MO 65559-9151
Phone (573) 899-7124

Other providers in St. James, MO

All providers in St. James, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.