Healthcare Provider Details

I. General information

NPI: 1225974454
Provider Name (Legal Business Name): TIFFANY A CLOUDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6563 FL-54
NEW PORT RICHEY FL
34653
US

IV. Provider business mailing address

6563 FL-54
NEW PORT RICHEY FL
34653
US

V. Phone/Fax

Practice location:
  • Phone: 727-380-9181
  • Fax:
Mailing address:
  • Phone: 727-380-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: