Healthcare Provider Details

I. General information

NPI: 1124433933
Provider Name (Legal Business Name): TIFFANY PEREZ M.S., RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 LAKE MONTEREY CIR
BOYNTON BEACH FL
33426-8436
US

IV. Provider business mailing address

105 LAKE MONTEREY CIR
BOYNTON BEACH FL
33426-8436
US

V. Phone/Fax

Practice location:
  • Phone: 954-393-2131
  • Fax:
Mailing address:
  • Phone: 954-393-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: