MRS. TIFFANY MARIE GORMANY (NPI# 1477980746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477980746 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY MARIE GORMANY |
| Credential | LAC |
| Practice Address |
120 Meghan Ln Judsonia AR 72081-9302 |
| Mailing Address |
Po Box 8241 Searcy AR 72145-8241 |
| Practice Telephone | 8667294479 |
| Practice Fax Number | 5017293537 |
| Mailing Telephone | 8667294479 |
| Mailing Fax Number | 5017293537 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A1309105 | AR | Behavioral Health & Social Service Providers |
| Street Address |
120 MEGHAN LN |
| City | JUDSONIA |
| State | AR |
| Zip Code | 72081-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215052329 | Jordan Terry Howard | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2007-03-20 |
| 1407404460 | Taylor Holsonback | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2019-09-03 |
| 1881175164 | Creagan M. Williams | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-24 |
| 1205316601 | Tanner Corbin Brown | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-16 |
| 1396225504 | Jeremy Erickson | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-16 |
| 1972083319 | Anna Ruger | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-15 |
| 1902386345 | Coryn Taylor | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-15 |
| 1417386616 | Jimmy Shaw | Marriage & Family Therapist | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2013-11-07 |
| 1649608803 | Alisson Cruz | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2013-10-28 |
| 1366878175 | Haley Jane Kirschner | Registered Nurse | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2013-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942637889 | Hannah Rhea Douglas | Counselor | 120 Meghan Ln., Judsonia, AR 72081 | 2013-10-10 |
| 1922445758 | Jeremy Carter | Counselor | 120 Meghan Lane, Judsonia, AR 72081 | 2013-06-03 |
| 1326370990 | That Certain Look, Inc. | Durable Medical Equipment & Medical Supplies | 300 Van Buren St., Judsonia, AR 72081 | 2010-02-08 |
| 1487984654 | Eliza Jayne | Durable Medical Equipment & Medical Supplies | 300 Van Buren Street, Judsonia, AR 72081 | 2010-01-11 |
| 1295951440 | Mary Ann Jackson | Speech-Language Pathologist | 1004 Boardman, Judsonia Elementary School, Judsonia, AR 72081 | 2007-04-17 |
| 1134345598 | Elizabeth D Thompson | Speech-Language Pathologist | 3259 Hwy. 157, Judsonia, AR 72081 | 2007-04-17 |
| 1679654818 | Health-way Pharmacy, Inc. | Pharmacy | 803 Hwy 367 N, Judsonia, AR 72081 | 2006-10-17 |
| 1205899085 | Senior Care Inc | Assisted Living Facility | 101 Cynthia St, Judsonia, AR 72081 | 2006-04-11 |
| 1760447577 | Senior Care Inc | Skilled Nursing Facility | 101 Cynthia St, Judsonia, AR 72081 | 2006-04-18 |
| 1285683250 | Brenda D Polston | Durable Medical Equipment & Medical Supplies | 300 Van Buren, Judsonia, AR 72081-0297 | 2006-05-08 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205316601 | Tanner Corbin Brown | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-16 |
| 1972083319 | Anna Ruger | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-15 |
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| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1760009716 | Serenity and Soul Counseling LLC | Counselor | 1202 Ne Mcclain Rd Ste 2002, Bentonville, AR 72712-3875 | 2020-06-25 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
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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.