MEDICARE: TIFFANY N LINDLEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	67455	TX

General Provider Information

NPI Number	:	1215272737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY N LINDLEY LPC

Provider Business Mailing Address
First Line	:	816 GREEN HILL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-1634
Country	:	US
Telephone Number	:	214-770-7745
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 W MOCKINGBIRD LN
Second Line	:	4000
City	:	DALLAS
State	:	TX
Zip	:	75235-5014
Country	:	US
Telephone Number	:	214-821-6065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	07/12/2016

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Directions to “ TIFFANY N LINDLEY LPC” Practice Location

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