=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356205322
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TIANA WELCH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2025
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 801 E 10TH ST
-----------------------------------------------------
City | TUSCUMBIA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35674-2717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-507-5986
-----------------------------------------------------
Fax | 256-242-2927
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 139 COX CREEK PKWY S # 110
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35630-3264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-507-5986
-----------------------------------------------------
Fax | 256-242-2927
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TIANA WELCH
-----------------------------------------------------
Credential | LICSW
-----------------------------------------------------
Telephone | 256-507-5986
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------