Doctor Name: | MRS. TIFFANY D RAVENEL |
NPI Number: | 1639568009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | 5992 |
Business Practice Address: | 2810 Ashley Phosphate Rd Ste B13 N Charleston, SC - 294186401 |
Business Phone Number: | 8434083214 |
Business Fax Number: | 8437375264 |
Mailing Address: | 4179 Davison Rd, RAVENEL |
State: | SC |
Postal Code: | 294705307 |
Phone Number: | 8434083214 |
Fax Number: | 8437375264 |
NPI Enumeration Date: | 01/22/2015 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |