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NPI Code Detail

MEDICARE: TIFFANY BROWN LPC

MEDICARE: TIFFANY BROWN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1215184155
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY BROWN LPC
Provider Business Mailing Address
First Line : 1614 E MAIN ST STE D
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4056
Country : US
Telephone Number : 337-256-5917
Fax Number :
Provider Business Practice Location Address
First Line : 1614 E MAIN ST STE D
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4056
Country : US
Telephone Number : 337-256-5917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 11/09/2018

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Directions to “ TIFFANY BROWN LPC” Practice Location

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