Healthcare Provider Details

I. General information

NPI: 1801492178
Provider Name (Legal Business Name): TIFFANY LENORE CHAPMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 SCHOFIELD AVE STE 120
SCHOFIELD WI
54476-2332
US

IV. Provider business mailing address

1699 SCHOFIELD AVE STE 120
SCHOFIELD WI
54476-2332
US

V. Phone/Fax

Practice location:
  • Phone: 715-907-1880
  • Fax: 715-907-1888
Mailing address:
  • Phone: 715-907-1880
  • Fax: 715-907-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12258-125
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19200
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: