Healthcare Provider Details

I. General information

NPI: 1437169703
Provider Name (Legal Business Name): TIFFNI TERESA RANKIN MA, LPC, SCL, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. TIFFNI TERESA ARMSTRONG

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 12/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 E GRAND RIVER AVE
HOWELL MI
48843-8503
US

IV. Provider business mailing address

2280 E GRAND RIVER AVE
HOWELL MI
48843-8503
US

V. Phone/Fax

Practice location:
  • Phone: 517-546-4126
  • Fax:
Mailing address:
  • Phone: 517-546-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6401009212
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: