Tiffany L. Corjay, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1813-C Issued in AR

Legal business name

TIFFANY L. CORJAY, INC.

Doing business as

TLC, Inc.

Practice address

1603 Central Ave
Hot Springs, AR 71901-6117

Phone

(501) 627-2555

Fax

(501) 321-2884

NPI assigned

Jul 7, 2008

Last updated

May 27, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tiffany L. Corjay, LCSWNPI 1043309800

Title

President

Phone

(501) 627-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TLC, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany L Corjay, LCSW

  • Clinical Social Worker
  • Hot Springs, AR
  • NPI 1043309800
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1750544102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016117",
            "telephone_number": "501-627-2555",
            "fax_number": "501-321-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016117",
            "telephone_number": "501-627-2555",
            "fax_number": "501-321-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY L. CORJAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "CORJAY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-627-2555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "1813-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "5X614",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.