TIFFANY D BROCK
NPI 1336337112
Counselor - Professional in Lebanon, KY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since October 05, 2007

65 OLD SPRINGFIELD RD, LEBANON, KY 40033(270) 692-2509(270) 692-2592 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tiffany D Brock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY D BROCK (NPI 1336337112) is an individual professional provider in Lebanon, Kentucky, licensed in Kentucky (1052) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1336337112

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTIFFANY D BROCK

Location Address65 OLD SPRINGFIELD RDLebanon, KY 40033-9185

Mailing Address65 Old Springfield RdLebanon, KY 40033-9185 · (270) 692-2509 · Fax (270) 692-2592

Phone(270) 692-2509

Fax(270) 692-2592

Sole ProprietorYes

Enumeration DateOctober 5, 2007

Last NPPES UpdateJuly 22, 2014

✔ NPI 1336337112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 1052

65 OLD SPRINGFIELD RD, Lebanon, KY 40033

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA J YOUNG LPA

Psychologist (Clinical)