Provider Demographics
NPI:1871471409
Name:LINDSEY, TIFFANY M
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:M
Last Name:LINDSEY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-4878
Mailing Address - Country:US
Mailing Address - Phone:309-351-4553
Mailing Address - Fax:309-351-4553
Practice Address - Street 1:311 E MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-4878
Practice Address - Country:US
Practice Address - Phone:309-351-4553
Practice Address - Fax:309-351-4553
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health