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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY DERISO LASTER

Active Sole Proprietor

TIFFANY DERISO LASTER is a Professional Counselor healthcare provider located in AMERICUS, Georgia. NPI 1174489363 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · AMERICUS, GA

Registration Details

NPI Number
1174489363
Provider Type
Individual
Gender
Female
NPI Issued
Dec 31, 2025 (0.43593608889545 yrs)
Last Updated
Dec 31, 2025
Sole Proprietor
Yes

Practice Information

Address
472 US HIGHWAY 280 W
AMERICUS, GA, 317199107
Browse GA providers · Browse ZIP 31719
Phone
2298860146
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in AMERICUS, GA

Name Credential NPI
WILLIE E GREENE LPC 1982783155
LINDA KIDD LPC 1760526032
JESSICA JOYCE DOWDELL LPC 1871793729
MR. LANCE MICHAEL HENSON LPC 1174794911
JACQUELINE C ELLIS LPC 1417129859
MRS. BETTY MARSHALL BALLARD LPC 1295068716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.