Ally, Tiffany Lauren
Ally, Tiffany Lauren is an sole proprietor health care provider with primary practice located at 2044 Broken Arrow Trl N , Lakeland FL 33813-3704. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Agencies / Foster Care Agency, Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ally, Tiffany Lauren can be contacted via phone (863) 640-8791.Contact Information
Primary practice address
2044 Broken Arrow Trl N
Lakeland FL 33813-3704
Phone: (863) 640-8791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Agencies / Foster Care Agency | 253J00000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 17546 | Florida |
Profile Details
| NPI number | 1487127791 |
|---|---|
| LBN Legal business name | Ally, Tiffany Lauren |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2019 |
| Last updated | Jul 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487127791 | NPPES |
| Florida | MEDICAID | 010816500 |
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