Goles, Tiffany Lynn
Goles, Tiffany Lynn is an sole proprietor health care provider with primary practice located at 16133 Enchanted Peak Way , Monument CO 80132. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goles, Tiffany Lynn can be contacted via phone (734) 353-0842.Contact Information
Primary practice address
16133 Enchanted Peak Way
Monument CO 80132
Phone: (734) 353-0842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801095172 | Michigan |
Profile Details
| NPI number | 1942620612 |
|---|---|
| LBN Legal business name | Goles, Tiffany Lynn |
| Credentials | MSW, LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942620612 | NPPES |
| Michigan | Other | 6801095172 | LARA |
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