Healthcare Provider Details

I. General information

NPI: 1184955460
Provider Name (Legal Business Name): TIFFANY CLARISSA HUGGINS MED,NCC,LPCS,LCMHCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6277 CAROLINA COMMONS DR STE 600
INDIAN LAND SC
29707-6007
US

IV. Provider business mailing address

1427 JASPER RIDGE DR
FORT MILL SC
29707-5837
US

V. Phone/Fax

Practice location:
  • Phone: 980-279-0332
  • Fax: 877-586-1294
Mailing address:
  • Phone: 803-396-8046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC012589
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7623
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberTPMC1420
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401020340
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number5092
License Number StateSC
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5092
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: