Blackwell, Tiffany

Blackwell, Tiffany is an sole proprietor health care provider with primary practice located at 703 Sudbrook Rd , Pikesville MD 21208-4761. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blackwell, Tiffany can be contacted via phone (443) 677-6813.

Contact Information

Primary practice address
703 Sudbrook Rd Pikesville MD 21208-4761
Phone: (443) 677-6813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA1916 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4109 Maryland

Profile Details

NPI number 1184049728
LBN Legal business name Blackwell, Tiffany
Credentials LCPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2014
Last updated Feb 19th, 2014 - about 12 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.

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