Individual provider · Type 1 NPI
Tiffany Vilese McCullough, LMFTA
Marriage & Family Therapist · Charlotte, NC
Practice location
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Fax (866) 338-5921
Mailing address
2365 Sharon Rd Apt 2
Charlotte, NC 28211-1653
Other practice locations
- 1077 13th St SE, Hickory, NC 28602-4165 · (704) 375-6310
- 3705 Latrobe Dr Ste 340, Charlotte, NC 28211 · (704) 364-3989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 12099A (NC) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1174016422
Tiffany Vilese McCullough, LMFTA's National Provider Identifier is 1174016422, issued on Jun 12, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 10, 2019.