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

Tiffanie L Brantley-Wright, LPC

Individual provider Counselor · NPI 1316551484

Tiffanie L Brantley-Wright, LPC is a Mental Health Counselor in Douglasville, Georgia. Qualified in 2004, 22 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2020
Specialties on file
6
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3133 Golf Ridge Blvd Ste 304
Douglasville, GA 30135-1995
Phone: (470) 526-8043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 755 Jw Warren Rd, Dublin, GA 31027-4792 — (470) 526-8043
  • 1345 Redmond Cir Nw, Rome, GA 30165-1307 — (910) 742-9243

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC011658 (GA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC011658 (GA)
Professional Counselor Taxonomy 101YP2500X
School Counselor Taxonomy 101YS0200X

Record details

NPI number1316551484
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address755 Jw Warren Rd, Dublin, GA 31027-4792

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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