In Birmingham, Tuggle held the position of Grand Worthy Councilor from 1891 to 1899. In 1901, she was appointed to the Office of Supreme Worthy Councilor after her husband had refused to contest for the post. She created and edited a Black newspaper, the
Birmingham Truth, between 1902 and 1910. Early in her career as a social worker, Tuggle pleaded before a court to pardon two juvenile delinquents from a prison sentence, volunteering to take them under her care and reform them. This action received appreciation from residents such as
A. G. Gaston, and inspired her to establish the
Jefferson County Juvenile and Domestic Court. The Tuggle Institute was opened by her on 3 September 1903, created with a meager US$2.50. The institute's basic objective was to provide a home to destitute children and to educate them. At this time, she was associated with many institutions in Birmingham such as Courts of Calanthe, Knights and Ladies of Honour of the World, and Rising Sons and Daughters of Protection, which helped support the Tuggle Institute. She also sought support from the philanthropists of Birmingham's White Community, and financial backing from Louis Pizitz and his wife and A. B. Loveman. Initially, the school was a temporary structure, but she saw to it that an academic curriculum was created covering subjects such as industry, nursing and music. Tragedy struck the school in 1919 when it burned down in a suspected arson attack. Following the fire, the school was shifted to a nearby church, and teaching and care of children was continued, until the institute's building was reconstructed and gained a reputation as "one of most effective and beneficial institutions of the South". Support for constructing the building complex for expansion of the school was provided by the White supporters, particularly the small Jewish community, of Birmingham. Among the notable students of the institute were Dr.
A. G. Gaston, John T. Whatley, and
Erskine Hawkins. Tuggle did much towards the cause of women's suffrage in Jefferson County, urging many other Black women including teachers to register as voters. At this stage she suffered setbacks in her personal life when one of her daughters, Mamie Adams, a leading social activist, died. ==Death and legacy==