Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tiffany Ann Derrick, LPC-I

Individual provider Counselor · NPI 1689888570

Mrs. Tiffany Ann Derrick, LPC-I is a Counselor in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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Practice location Address checks out

4274 Cadiz Dr
Fort Worth, TX 76133-5412
Phone: (817) 690-5196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 62801 (TX)

Record details

NPI number1689888570
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-I
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007

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