Individual provider · NPI-1

Tiffany Atkins

Counselor, Professional · Killeen, TX

NPI number1699369371
StatusActive
Last updated in NPPESMar 4, 2021

Details

NPI
1699369371
Entity type
Individual (NPI-1)
Name
Tiffany Atkins
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2021
Certification date
Mar 4, 2021
Last updated
Mar 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional73723TXYes
101YA0400X Counselor, Addiction (Substance Use Disorder)14986TX

Practice location

400 W Jasper Dr Ste 105
Killeen, TX 76542-1322

Phone 254-449-5289

Mailing address

2707 Tarrant County Dr
Killeen, TX 76549-5788

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