Tiffany Bates, PH.D.

Individual provider Active NPI Professional Counselor · Ruston, LA

NPI 1134595523 · NPPES record last updated Aug 19, 2015

Key facts

NPI
1134595523
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2700 (LA)
Practice address
412 S Trenton St
Ruston, LA 71270-5031
Phone
(318) 232-2797
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2700LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rain to Rainbow Counseling & Consulting Professional Current Accepting new patients

Locations

412 S Trenton St
Ruston, LA 71270
Phone (318) 232-2797

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2700 LA Yes

Addresses

Primary practice location

412 S Trenton St
Ruston, LA 71270-5031

Mailing address

1603 Bistineau St
Ruston, LA 71270-5210

Other providers in Ruston, LA

All providers in Ruston, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.