MEDICARE: TIFFANY S PEELER MA, LLPC, NCC

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	101Y00000X	Counselor	6451022357	MI

General Provider Information

NPI Number	:	1356035976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY S PEELER MA, LLPC, NCC

Provider Business Mailing Address
First Line	:	12750 S SAGINAW ST STE 206
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-1841
Country	:	US
Telephone Number	:	810-337-8392
Fax Number	:

Provider Business Practice Location Address
First Line	:	12750 S SAGINAW ST STE 206
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-1841
Country	:	US
Telephone Number	:	810-337-8392
Fax Number	:

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

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	09/23/2025

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