MEDICARE: MS. TIFFANY LEIGH HELLING LMSW

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	104100000X	Social Worker	2014042631	MO

General Provider Information

NPI Number	:	1891214417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIFFANY LEIGH HELLING LMSW

Provider Business Mailing Address
First Line	:	3930 BROADWAY BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2517
Country	:	US
Telephone Number	:	816-561-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 BROADWAY BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2517
Country	:	US
Telephone Number	:	816-561-0770
Fax Number	:

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

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	09/14/2017

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