MEDICARE: TIFFANY DENISE SINGLETON MA, LPC, CCTP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	7291	SC

General Provider Information

NPI Number	:	1205501277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY DENISE SINGLETON MA, LPC, CCTP

Provider Business Mailing Address
First Line	:	144 LEISURE LN STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4156
Country	:	US
Telephone Number	:	803-764-4120
Fax Number	:	803-369-3384

Provider Business Practice Location Address
First Line	:	144 LEISURE LN STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4156
Country	:	US
Telephone Number	:	803-764-4120
Fax Number	:	803-369-3384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	12/15/2025

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