Tiffany Douglas LCSW Counseling and Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TIFFANY DOUGLAS LCSW COUNSELING AND CONSULTING

Practice address

6719 Running Fox Rd
Hope Mills, NC 28348-2993

Phone

(910) 494-5886

NPI assigned

Jan 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany N Douglas, LCSWNPI 1992248074

Title

Owner

Phone

(910) 494-5886

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Douglas, LCSW

  • Clinical Social Worker
  • Hope Mills, NC
  • NPI 1992248074
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1528773603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 RUNNING FOX RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482993",
            "telephone_number": "910-494-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 RUNNING FOX RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482993",
            "telephone_number": "910-494-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY DOUGLAS LCSW COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-494-5886",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C012158",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tiffanydouglaslcsw@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6719 Running Fox Rd",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283482993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Therapeutic Assessments and Counseling Services, PLLC
• Delisha Nicole Thomas, LMHC
• Keayon Dontre Thomas
• McHelle Thomas, PHARMD
• Regina Thomas, LPCA
• Natascha Wagoner Tilson
• Roberta Denise Tolbert, D.C.
• Jasna M Torrez, MD
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• Lehuyen Nu Trinh, PHARM.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.