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

TIFFANY GILLIAM, DACM, BCND, M.AC, YS

Active Sole Proprietor

TIFFANY GILLIAM, DACM, BCND, M.AC, YS is a Health & Wellness Coach healthcare provider located in EDENTON, North Carolina. NPI 1710717525 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · EDENTON, NC

Registration Details

NPI Number
1710717525
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2024 (2.0386789817273 yrs)
Last Updated
Aug 6, 2024
Licenses
LEHP828 (NC)
LEHP828 (NC)
Sole Proprietor
Yes

Practice Information

Address
135 WATER LILLY LOOP
EDENTON, NC, 279329283
Browse NC providers · Browse ZIP 27932
Phone
2524849165
Primary Specialty
Health & Wellness Coach
171400000X
Additional Specialty
Health & Wellness Coach
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.