Williams, Tiffanie Wigstrom
Williams, Tiffanie Wigstrom is an sole proprietor health care provider with primary practice located at 251 River Park North Dr , Woodstock GA 30188-7835. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Williams, Tiffanie Wigstrom can be contacted via phone (470) 531-8400.Contact Information
Primary practice address
251 River Park North Dr
Woodstock GA 30188-7835
Phone: (470) 531-8400
Fax: (470) 531-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC010114 | Georgia |
Profile Details
| NPI number | 1952790727 |
|---|---|
| LBN Legal business name | Williams, Tiffanie Wigstrom |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2015 |
| Last updated | Jul 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952790727 | NPPES |
| Georgia | MEDICAID | 003218462A |
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