MEDICARE: TIFFANY CUMMINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH24622	FL

General Provider Information

NPI Number	:	1245002997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY CUMMINS

Provider Business Mailing Address
First Line	:	8465 MERCHANTS WAY STE 104
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2858
Country	:	US
Telephone Number	:	904-379-8675
Fax Number	:	904-423-0490

Provider Business Practice Location Address
First Line	:	8465 MERCHANTS WAY STE 104
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2858
Country	:	US
Telephone Number	:	904-379-8675
Fax Number	:	904-423-0490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/26/2023

Similar Medicare Providers

1003244484 — MRS. AMANDA SWEAT L.M.H.C
Practice Location Address:

8465 MERCHANTS WAY STE 206
JACKSONVILLE, FL
32222-2858

Practice Phone: 423-206-2299
Practice Fax: 423-717-5594

1053981852 — RIVER'S EDGE COUNSELING, PLLC
Practice Location Address:

8465 MERCHANTS WAY STE 104
JACKSONVILLE, FL
32222-2858

Practice Phone: 904-379-8675
Practice Fax:

1821768805 — AMANDA SWEAT LMHC, PLLC
Practice Location Address:

8465 MERCHANTS WAY STE 206
JACKSONVILLE, FL
32222-2858

Practice Phone: 361-548-1302
Practice Fax:

1558015156 — ALEENA BODOE DMFT
Practice Location Address:

8465 MERCHANTS WAY STE 104
JACKSONVILLE, FL
32222-2858

Practice Phone: 904-379-8675
Practice Fax:

1245921329 — HDX LABS LLC
Practice Location Address:

8465 MERCHANTS WAY STE 206
JACKSONVILLE, FL
32222-2858

Practice Phone: 904-588-2164
Practice Fax: 770-206-2366

1952088239 — BRANDI ROBINSON-THOMAS
Practice Location Address:

8465 MERCHANTS WAY STE 104
JACKSONVILLE, FL
32222-2858

Practice Phone: 904-379-8675
Practice Fax: 904-423-0490

Directions to “ TIFFANY CUMMINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.