Individual provider · Type 1 NPI
Tiffany Conwell, CIT 5488
Mental Health Clinic/Center (Including Community Mental Health Center) · Monroe, LA
NPI number
1053039834
Active
Practice location
645 Highway 80 E
Monroe, LA 71203-8527
Fax (318) 345-7123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1053039834
Tiffany Conwell, CIT 5488's National Provider Identifier is 1053039834, issued on Aug 18, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Monroe, LA. The record was last updated on Aug 31, 2023.