Tiffany Renee Porter
Individual provider Active NPI Mental Health Counselor · Evergreen, AL
NPI 1629705751 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1629705751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 220 Magnolia Ave
Evergreen, AL 36401-3156 - Phone
- (251) 578-4545
- Fax
- (251) 575-9459
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Alabama Mental Health | Past |
Accepting new patients | |
| Southwest Alabama Behavioral Health Care Systems | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
220 Magnolia Ave
Evergreen, AL 36401-3156
Mailing address
PO Box 964
Monroeville, AL 36461-0964
Phone (251) 575-4203
Other providers in Evergreen, AL
- Aubrey Alan Odom
- Optimal Living Health Care
- Optimal Living Health Care
- Chelsey Pettis
- Jessica Roberts Pierce
- Praesidium Medical Diagnostics and Screening
- Pulmonary Associates of Mobile, PC
- Lisa Marie Ripple
- Mark A Roberts
- Rocky Mountain Holdings, LLC
All providers in Evergreen, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.