| Doctor Name: | MRS. TIFFANY MICHELLE BRANSON |
| NPI Number: | 1770725889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LSW0000004982 |
| Business Practice Address: | 6350 W Andrew Johnson Hwy Talbott, TN - 378778605 |
| Business Phone Number: | 4235877337 |
| Business Fax Number: | 4235860614 |
| Mailing Address: | 6350 W Andrew Johnson Hwy, Department 100 TALBOTT |
| State: | TN |
| Postal Code: | 378778605 |
| Phone Number: | 8003553565 |
| Fax Number: | 4237142355 |
| NPI Enumeration Date: | 04/03/2009 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW0000004982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |