Basic Information
| Provider Information | |||||||||
| NPI: | 1033435805 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUYTON | ||||||||
| FirstName: | TIFFANY | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 W MAIN ST STE 319 | ||||||||
| Address2: | |||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154013402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243226142 | ||||||||
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| Practice Location | |||||||||
| Address1: | 46 E MAIN ST. | ||||||||
| Address2: | SUITE E | ||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244348897 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2010 | ||||||||
| LastUpdateDate: | 03/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC008436 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.