Search › Virginia › 101YP2500X

Tiffany Shaw, LCMHC,LPC, NCC, LCAS

NPI 1063649374 · on the registry since 2009

Practice

Address
700 24th St
Fort Lee, VA 23801
Phone
(804) 734-9623
Fax
(804) 734-9188
Organisation at this address
Tahayya A.M Ansari
Kenner Army Health Clinic
Kenner Army Health Clinic
Kenner Army Health Clinic
Ahc Kenner-Ft Gregg-Adams
Inferred from a shared address, not stated in the registry.
Clinicians at this address
143

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YM0800X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia