Tiffany Renee' Ellis in South Lake Tahoe - Addiction (substance Use Disorder)

Tiffany Renee' Ellis - NPI 1699964585

Tiffany Renee' Ellis is a Addiction (substance Use Disorder) in South Lake Tahoe, California. Tiffany Renee' Ellis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tiffany Renee' Ellis is 1699964585. The last update date is 2007-10-17.

Tiffany Renee' Ellis's current location address is 1120 3rd St, South Lake Tahoe, California. You can contact this provider via phone number 5305733386 and fax number 5305436697. The mailing address for Tiffany Renee' Ellis is 1120 3rd St, South Lake Tahoe, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany Renee' Ellis
Address 1120 3rd St, South Lake Tahoe, California
Phone Number 5305733386
Fax Number 5305436697
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1699964585
Provider Enumeration Date 2007-10-17
Last Updated Date 2007-10-17

Provider Mailing Address Detail

Address 1120 3rd St
City South Lake Tahoe
State California (CA)
Post Code 961503451
Phone Number 5305733386
Fax Number 5305436697

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Tiffany Renee' Ellis

What is the unique identifier code issued to Tiffany Renee' Ellis by the Centers for Medicare & Medicaid Services (CMS)?

The Tiffany Renee' Ellis has been assigned the NPI (National Provider Identifier) 1699964585. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Tiffany Renee' Ellis's physical address?

The Tiffany Renee' Ellis is physically located at 1120 3Rd St, in the city of South Lake Tahoe, CA, with the postal code 961503451.

What is Tiffany Renee' Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tiffany Renee' Ellis's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

When did the Tiffany Renee' Ellis receive its 1699964585?

The Tiffany Renee' Ellis was issued its 1699964585 on 2007-10-17, which is the date when the organization was assigned this unique identifier.

When was the information regarding Tiffany Renee' Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tiffany Renee' Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-17.

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