Evans, Tiffany M

Evans, Tiffany M is an individual health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evans, Tiffany M can be contacted via phone (616) 336-3909.

Contact Information

Primary practice address
790 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801115574 Michigan

Profile Details

NPI number 1689047110
LBN Legal business name Evans, Tiffany M
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Apr 15th, 2024 - about 2 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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