MS. TIFFNEY ANN DUDLEY LPC NPI 1063615805

NPI Information

NPI: 1063615805
Provider Name: MS. TIFFNEY ANN DUDLEY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1606 WELLINGTON AVE STE C
COMMUNITY SUPPORT PROFESSIONALS,LLC
WILMINGTON, NC
ZIP 28401
Phone: (910) 799-4505
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MS. Tiffney Ann Dudley, LPC is a professional counselor in Wilmington, NC. MS. Tiffney Ann Dudley, LPC NPI is 1063615805. 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:

1606 WELLINGTON AVE STE C
COMMUNITY SUPPORT PROFESSIONALS,LLC
WILMINGTON, NC
ZIP 28401-704
Phone: (910) 799-4505
Fax: (910) 799-4345

The enumeration date for this NPI number is 6/8/2007 and was last updated on 10/15/2014.

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	3754	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	3754	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3754	OTHER	NORTH CAROLINA	NC LICENSE #

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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