Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tiffany R Derrick, LCPC

Individual provider Mental Health Counselor · NPI 1124399589

Mrs. Tiffany R Derrick, LCPC is a Mental Health Counselor in Gainesville, Georgia. Licensed in Georgia and Illinois. Registered with an NPI since 2012.

Licensed in
GA, IL
In the registry since
2012
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

629 Dawsonville Hwy Ste 2201
Gainesville, GA 30501-2632
Phone: (678) 701-8477
Fax: (229) 516-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC008265 (GA)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 180.009330 (IL)

Record details

NPI number1124399589
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

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