Healthcare Provider Details

I. General information

NPI: 1093686305
Provider Name (Legal Business Name): TIFFANY HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 BRINKBY AVE STE 205
RENO NV
89509-4345
US

IV. Provider business mailing address

385 MAGGIE CIR
SUN VALLEY NV
89433-7652
US

V. Phone/Fax

Practice location:
  • Phone: 775-209-9056
  • Fax:
Mailing address:
  • Phone: 775-235-2314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCI5617
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCI5617
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5617
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: