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NPI Code Detail

MEDICARE: TIFFANY STRANATHAN

MEDICARE: TIFFANY STRANATHAN
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
1101YM0800XMental Health Counselor85703TX

General Provider Information

NPI Number : 1811695398
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY STRANATHAN
Provider Business Mailing Address
First Line : 301 LAS COLINAS BLVD W APT 125
Second Line :
City : IRVING
State : TX
Zip : 75039-5407
Country : US
Telephone Number : 661-755-0812
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-763-8765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 12/08/2025

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Directions to “ TIFFANY STRANATHAN ” Practice Location

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