TIFFANY BLAKE (NPI# 1649898750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649898750 |
| Entity Type | Individual |
| Full Name | TIFFANY BLAKE |
| Credential | MS, PHD |
| Practice Address |
525 Route 73 N Ste 104 Marlton NJ 08053-3422 |
| Practice Telephone | 6093563542 |
| Mailing Telephone | 6093563542 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854082 | Tiffany A Blake | Speech-Language Pathologist | 15050 14th Rd, Whitestone, NY 11357-2609 | 2020-06-07 |
| 1760999742 | Tiffany Blake | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2017-12-29 |
| 1073042842 | Tiffany Nichole Blake | Counselor | 447 W Bearcat Dr, S Salt Lake, UT 84115-2519 | 2017-06-06 |
| 1720530413 | Tiffany Blake | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2016-10-27 |
| 1255708970 | Tiffany G Blake | Social Worker | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2015-08-28 |
| Street Address |
525 ROUTE 73 N STE 104 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902063746 | Jason Charles Hunt | Psychologist | 525 Route 73 N Ste 104, Marlton, NJ 08053 | 2008-05-20 |
| 1932713997 | The Voice Angels | Clinic/Center | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-09-06 |
| 1356951032 | Nutrition Hungry LLC | Dietitian, Registered | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-08-06 |
| 1811529290 | Surgical Pa Services, PC | Physician Assistant | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-02-04 |
| 1902446776 | Double Care Applied Behavior Analysis Inc | Behavioral Analyst | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-01-09 |
| 1356988661 | Peds Purpose LLC | Pediatrics | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-12-05 |
| 1194373761 | Early Achievements LLC | Clinic/Center | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-08-27 |
| 1477113173 | Innovative Day of New Jersey | Day Training, Developmentally Disabled Services | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-06-16 |
| 1801374046 | Behavioral Health and Anxiety Reduction, LLC | Psychologist | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2018-07-31 |
| 1629568449 | Psychfocus Consulting LLC | Social Worker | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1972137727 | On Purpose Counseling | Counselor | 525 Route 73 S Ste 306b, Marlton, NJ 08053-9644 | 2020-03-02 |
| 1528472693 | Heather Wells | Counselor | 538 Kettle Run Rd, Marlton, NJ 08053-7142 | 2014-06-17 |
| 1053748392 | Sharnessa Bond | Counselor | 7 Gaylord Ln, Marlton, NJ 08053-1917 | 2013-10-01 |
| 1578907697 | Tina Maria Mazzocca | Counselor | 562 Lippincott Dr, Suite B, Marlton, NJ 08053-4810 | 2013-04-19 |
| 1649535717 | Quality Life Counseling Group, LLC | Counselor | 1 Eves Dr, Marlton, NJ 08053-3125 | 2012-07-05 |
| 1558538694 | Barri Lentini | Counselor | 49 Country Club Ln, Marlton, NJ 08053-9713 | 2008-05-08 |
| 1326073883 | Natalie Susan Gaber | Counselor | 1 Greentree Ctr Ste 201, Marlton, NJ 08053-3105 | 2006-07-12 |
| 1760008247 | Ariyon Fountaine | Counselor | 19 E Main St, Marlton, NJ 08053-2172 | 2020-06-22 |
| 1720639800 | Ashante Taylorcox | Counselor | 19 E Main St, Marlton, NJ 08053-2172 | 2019-09-20 |
| Find all providers in MARLTON | ||||
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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.