Provider Demographics
NPI:1205119682
Name:TROMBLEY, TIFFANY ELIZABETH (LCMHC, LMHC)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ELIZABETH
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:LCMHC, LMHC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:ELIZABETH
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 491
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS BAY
Mailing Address - State:VT
Mailing Address - Zip Code:05481-0491
Mailing Address - Country:US
Mailing Address - Phone:802-395-1317
Mailing Address - Fax:
Practice Address - Street 1:663 MONUMENT RD
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:VT
Practice Address - Zip Code:05488-1134
Practice Address - Country:US
Practice Address - Phone:802-309-3544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12936101YM0800X
VT068-0074342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health