TIFFANY BLAKE FORREST MS NPI 1639684681

NPI Information

NPI: 1639684681
Provider Name: TIFFANY BLAKE FORREST, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
30 ARDISIA LN
SAINT JOHNS, FL
ZIP 32259
Phone: (904) 376-3800
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Tiffany Blake Forrest, MS is a mental health counselor in Saint Johns, FL. Tiffany Blake Forrest, MS NPI is 1639684681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 ARDISIA LN
SAINT JOHNS, FL
ZIP 32259-881
Phone: (904) 376-3800

The NPI 1639684681 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician		RBT-17-45567	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH22337	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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