Tiffany Nicole Ceasar
Individual provider Active NPI Counselor · Greenville, MS
NPI 1154839694 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1154839694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 365 W Reed Rd Ste 1a
Greenville, MS 38701-6967 - Phone
- (662) 702-5108
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
365 W Reed Rd Ste 1a
Greenville, MS 38701-6967
Mailing address
365 W Reed Rd Ste 1a
Greenville, MS 38701-6967
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.