Healthcare Provider Details

I. General information

NPI: 1194641704
Provider Name (Legal Business Name): TIFFANI AMY MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 SALE LN
RED BLUFF CA
96080-2909
US

IV. Provider business mailing address

1151 E 9TH ST UNIT B
CHICO CA
95928-5927
US

V. Phone/Fax

Practice location:
  • Phone: 530-528-0226
  • Fax:
Mailing address:
  • Phone: 650-238-7622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: