Tiffany Farley, LLPC

Individual provider Active NPI Mental Health Counselor · Commerce TWP, MI

NPI 1336969575 · NPPES record last updated Oct 14, 2024

Key facts

NPI
1336969575
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6451023843 (MI)
Practice address
5103 Carinas Way CT
Commerce TWP, MI 48382-2986
Phone
(248) 962-3775
NPI assigned
Oct 14, 2024
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
6451023843MIMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451023843 MI Yes

Addresses

Primary practice location

5103 Carinas Way CT
Commerce TWP, MI 48382-2986

Mailing address

5103 Carinas Way CT
Commerce TWP, MI 48382-2986
Phone (810) 250-3000

Other providers in Commerce TWP, MI

All providers in Commerce TWP, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.