TIFFANY ALEX BLACK (NPI# 1396247391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396247391 |
Entity Type | Individual |
Full Name | TIFFANY ALEX BLACK |
Practice Address |
5310 Coral Ribbon Ave Las Vegas NV 89139-5832 |
Practice Telephone | 3473677372 |
Mailing Telephone | 3473677372 |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750673216 | Tiffany Clevette Black | Psychologist | 3447 Cobblestone Ct, Spencer, OK 73084-3258 | 2011-05-03 |
1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
1316338841 | Tiffany Black | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-05 |
1114212511 | Tiffany B Black | Counselor | 1856 Cedar Hill Road, Lancaster, OH 43130-4178 | 2011-06-14 |
1548419377 | Tiffany E Black | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2008-09-17 |
Street Address |
5310 CORAL RIBBON AVE |
City | LAS VEGAS |
State | NV |
Zip Code | 89139-5832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
Find all providers in zip 89139 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.