Healthcare Provider Details

I. General information

NPI: 1215860713
Provider Name (Legal Business Name): TIFFANY SKARPHOL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15225 E RIGGS RD
GILBERT AZ
85298-9755
US

IV. Provider business mailing address

1357 N BANNING CT
GILBERT AZ
85234-1539
US

V. Phone/Fax

Practice location:
  • Phone: 480-802-8059
  • Fax:
Mailing address:
  • Phone: 701-260-0318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number24898
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: