Mrs Tiffany R Derrick, LCPC - Counselor in Gainesville, GA

Mrs Tiffany R Derrick, LCPC is a Counselor - Professional based in Gainesville, Georgia. Mrs Tiffany R Derrick is licensed to practice in Georgia (license number LPC008265) and her current practice location is 629 Dawsonville Hwy Ste 2201, Gainesville, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 701-8477.

NPI number for Mrs Tiffany R Derrick is 1124399589 and her current mailing address is 629 Dawsonville Hwy Ste 2201, Gainesville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124399589.

Contact Information

Mrs Tiffany R Derrick, LCPC
629 Dawsonville Hwy Ste 2201,
Gainesville, GA 30501-2632
(678) 701-8477
(229) 516-1395

Map and Direction


Healthcare Provider's Profile

Full NameMrs Tiffany R Derrick
GenderFemale
SpecialityCounselor - Professional
Location629 Dawsonville Hwy Ste 2201, Gainesville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124399589
  • Provider Enumeration Date: 01/17/2012
  • Last Update Date: 01/25/2024

Medical Identifiers

Medical identifiers for Mrs Tiffany R Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124399589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional 180.009330 (Illinois)Secondary
101YP2500XCounselor - Professional LPC008265 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiffany R Derrick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tiffany R Derrick, LCPC
629 Dawsonville Hwy Ste 2201,
Gainesville, GA 30501-2632

Ph: (678) 701-8477
Mrs Tiffany R Derrick, LCPC
629 Dawsonville Hwy Ste 2201,
Gainesville, GA 30501-2632

Ph: (678) 701-8477

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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