Healthcare Provider Details

I. General information

NPI: 1285035147
Provider Name (Legal Business Name): TIFFANY WHITE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY TOMPKINS

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N NEW YORK AVE STE 212
WINTER PARK FL
32789-3159
US

IV. Provider business mailing address

1661 CHEYENNE TRL
MAITLAND FL
32751-4915
US

V. Phone/Fax

Practice location:
  • Phone: 407-335-2600
  • Fax:
Mailing address:
  • Phone: 407-335-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: