Individual provider · NPI-1

Tiffany Lauren Ally

Social Worker, Clinical · Lakeland, FL

NPI number1487127791
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1487127791
Entity type
Individual (NPI-1)
Name
Tiffany Lauren Ally
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 9, 2019
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW23348FLYes

Practice location

2044 Broken Arrow Trl N
Lakeland, FL 33813-3704

Phone 863-640-8791

Mailing address

5473 Pebble Beach Dr
Lakeland, FL 33812-1216

Phone 863-640-8791

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