TIFFANY BERNARD LPC
NPI 1417628736
Counselor - Professional in Chicago, IL
Active since September 27, 2021
About Tiffany Bernard Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY BERNARD LPC (NPI 1417628736) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.010027) and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1417628736
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY BERNARDCredential: LPC
Location Address333 N MICHIGAN AVE STE 1400Chicago, IL 60601-4011
Mailing Address5136 S Kimbark AveChicago, IL 60615-3834 · (773) 822-1719
Phone(312) 815-9660
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 25, 2021
✔ NPI 1417628736 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 IL · 178.010027
333 N MICHIGAN AVE STE 1400, Chicago, IL 60601
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
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.
Counselor (Professional)
333 N MICHIGAN AVE STE 1400
CHICAGO, IL 60601
CHICAGO, IL 60601
Psychiatry & Neurology (Psychiatry)
333 N MICHIGAN AVE STE 1400
CHICAGO, IL 60601
CHICAGO, IL 60601
Social Worker (Clinical)
333 N MICHIGAN AVE STE 1400
CHICAGO, IL 60601
CHICAGO, IL 60601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417628736, enumerated as an "individual" on September 27, 2021.
The provider is located at 333 N MICHIGAN AVE STE 1400 CHICAGO, IL 60601 and the phone number is (312) 815-9660.
Counselor with taxonomy code 101YP2500X and a focus in Professional.