MEDICARE: MS. TIARRA FAULKNER LCPC, LPC-MHSP, 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	101YM0800X	Mental Health Counselor	6919	TN
2	101YM0800X	Mental Health Counselor	178015821	IL
3	101YM0800X	Mental Health Counselor	180015204	IL

General Provider Information

NPI Number	:	1538777420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIARRA FAULKNER LCPC, LPC-MHSP, CCTP

Provider Business Mailing Address
First Line	:	6416 PINEY RIVER RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-1169
Country	:	US
Telephone Number	:	901-857-1352
Fax Number	:

Provider Business Practice Location Address
First Line	:	6584 POPLAR AVE STE 29
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38138-3687
Country	:	US
Telephone Number	:	901-205-9136
Fax Number	:

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

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	04/15/2025

Similar Medicare Providers

1932381530 — DR. SANJEEV KUMAR MD
Practice Location Address:

6584 POPLAR AVE , STE 400
MEMPHIS, TN
38138-3687

Practice Phone: 901-226-4280
Practice Fax: 901-226-4282

1780149823 — MARIE BLUNT LPC
Practice Location Address:

6584 POPLAR AVE FL 2
MEMPHIS, TN
38138-3687

Practice Phone: 901-450-9155
Practice Fax:

1124588793 — POPLAR AVENUE CLINIC PLLC
Practice Location Address:

6584 POPLAR AVE STE 400
MEMPHIS, TN
38138-3687

Practice Phone: 901-300-6713
Practice Fax: 901-552-5891

1295354926 — WEEKS CANCER CENTER PLLC
Practice Location Address:

6584 POPLAR AVE STE 400
MEMPHIS, TN
38138-3687

Practice Phone: 901-300-6713
Practice Fax: 901-881-0337

1326790759 — EURONDA FAY ROBERTSON
Practice Location Address:

6584 POPLAR AVE FL 2
MEMPHIS, TN
38138-3687

Practice Phone: 901-378-4440
Practice Fax: 901-249-6004

1588394100 — WOUND MANAGEMENT SPECIALISTS TN PLLC
Practice Location Address:

6584 POPLAR AVE STE 212
MEMPHIS, TN
38138-3687

Practice Phone: 769-239-3792
Practice Fax:

Directions to “ MS. TIARRA FAULKNER LCPC, LPC-MHSP, CCTP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.