Godwin, Tiffany Nicole

Godwin, Tiffany Nicole is an sole proprietor health care provider with primary practice located at 15411 W Waddell Rd Ste 102-1073 , Surprise AZ 85379-5170. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Godwin, Tiffany Nicole can be contacted via phone (850) 739-2332.

Contact Information

Primary practice address
15411 W Waddell Rd Ste 102-1073 Surprise AZ 85379-5170
Phone: (850) 739-2332
Fax: (623) 632-0097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY005014 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528260676
LBN Legal business name Godwin, Tiffany Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 13th, 2022 - about 2 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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