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

Tiffany T Russell

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1437026358

Tiffany T Russell is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dry Fork, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

6245 Dry Fork Rd
Dry Fork, VA 24549-4139
Phone: (434) 710-0831
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 11862 (VA)

Record details

NPI number1437026358
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025