TIFFANIE DIANE LONG LCPC NPI 1205489234

NPI Information

NPI: 1205489234
Provider Name: TIFFANIE DIANE LONG, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13932 COYOTE GULCH
POCATELLO, ID
ZIP 83202
Phone: (208) 410-0100
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Tiffanie Diane Long, LCPC is a mental health counselor in Pocatello, ID. Tiffanie Diane Long, LCPC NPI is 1205489234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13932 COYOTE GULCH
POCATELLO, ID
ZIP 83202-195
Phone: (208) 410-0100

The enumeration date for this NPI number is 7/18/2019 and was last updated on 7/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCPC-8664		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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