Darby, Tiffany M
Darby, Tiffany M is an sole proprietor health care provider with primary practice located at 822 Stuart Dr , South Euclid OH 44121-3424. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Darby, Tiffany M can be contacted via phone (216) 407-3190.Contact Information
Primary practice address
822 Stuart Dr
South Euclid OH 44121-3424
Phone: (216) 407-3190
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.0008244 | Ohio |
Profile Details
NPI number | 1922363936 |
---|---|
LBN Legal business name | Darby, Tiffany M |
Credentials | LPCC-S |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2012 |
Last updated | Aug 15th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922363936 | NPPES |
Ohio | MEDICAID | 0173206 |
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