Moore, Tiffiny Jean
Moore, Tiffiny Jean is an sole proprietor health care provider with primary practice located at 297 N Main St Ste 3 , Barre VT 05641-4503. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Tiffiny Jean can be contacted via phone (802) 793-9144.Contact Information
Primary practice address
297 N Main St Ste 3
Barre VT 05641-4503
Phone: (802) 793-9144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068-0057639 | Vermont |
Profile Details
| NPI number | 1639476211 |
|---|---|
| LBN Legal business name | Moore, Tiffiny Jean |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2011 |
| Last updated | May 7th, 2020 - about 6 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 | 1639476211 | NPPES |
| Vermont | MEDICAID | 1018762 |
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