TIFFANIE DIANE LONG LCPC NPI 1205489234

NPI Information

  • NPI: 1205489234
  • Provider Name: TIFFANIE DIANE LONG, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 13932 COYOTE GULCH
    POCATELLO, ID
    ZIP 83202
  • Phone: (208) 410-0100

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NPI Details

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
1101YM0800XCounselorMental HealthLCPC-8664Yes

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: 11/21/2025

NPI Synchronization or Removal

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