Provider Demographics
NPI:1114800794
Name:ALVORD, TIFFANY JOY (LLPC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:JOY
Last Name:ALVORD
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10020 SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2955
Mailing Address - Country:US
Mailing Address - Phone:810-962-5717
Mailing Address - Fax:
Practice Address - Street 1:43000 W 9 MILE RD STE 301
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-4129
Practice Address - Country:US
Practice Address - Phone:248-238-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional