Provider Demographics
NPI:1538532015
Name:JAMES, TIFFANY (BS OF PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:BS OF PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9487 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1429
Mailing Address - Country:US
Mailing Address - Phone:225-930-2993
Mailing Address - Fax:225-930-2991
Practice Address - Street 1:9487 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1429
Practice Address - Country:US
Practice Address - Phone:225-930-2993
Practice Address - Fax:225-930-2991
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health