Wells, Tiffany

Wells, Tiffany is an sole proprietor health care provider with primary practice located at 5991 Chester Ave Suite 211, Jacksonville FL 32217. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wells, Tiffany can be contacted via phone (904) 566-0200.

Contact Information

Primary practice address
5991 Chester Ave Suite 211 Jacksonville FL 32217
Phone: (904) 566-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / School 1041S0200X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952783326
LBN Legal business name Wells, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated Aug 8th, 2018 - about 8 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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