TIFFANY DANIELS NPI 1265814420

NPI Information

TIFFANY DANIELS is a mental health (including community mental health center) clinic center in Jackson, MS. TIFFANY DANIELS NPI is 1265814420. The provider is registered as an organization entity type.

The provider's business location address is:

5760 I 55 N STE 450
JACKSON, MS
ZIP 39211-673
Phone: (601) 956-4816
Fax: (601) 956-4817

The provider's authorized official is David Marion .
The authorized official title is Owner and has the following contact phone number (601) 956-4816.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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