Blanton, Tiffany

Blanton, Tiffany is an individual health care provider with primary practice located at 1448 Diederich Boulveard , Russell KY 41169. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blanton, Tiffany can be contacted via phone (606) 834-0020.

Contact Information

Primary practice address
1448 Diederich Boulveard Russell KY 41169
Phone: (606) 834-0020
Fax: (606) 834-0049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1163 Kentucky

Profile Details

NPI number 1972600609
LBN Legal business name Blanton, Tiffany
Credentials LPCC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Feb 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972600609 NPPES
Other 2886911 UNITED HEALTHCARE
MEDICAID 30610026 UNITED HEALTHCARE
Other 000000558499 UNITED HEALTHCARE

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