Dr Tiffany Wynn, LPCC is a
Counselor - Mental Health based in Tesuque, New Mexico. Dr Tiffany Wynn is licensed to practice in New Mexico (license number CCMH0203641) and her current practice location is
1524 Bishops Lodge Rd, #b, Tesuque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 490-3547.
NPI number for Dr Tiffany Wynn is 1225404437 and her current mailing address is 300 Menaul Blvd Nw # 2360, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225404437.
Healthcare Provider's Profile
Full Name | Dr Tiffany Wynn |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1524 Bishops Lodge Rd, Tesuque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225404437
- Provider Enumeration Date: 08/12/2015
- Last Update Date: 12/28/2022
Medical Identifiers
Medical identifiers for Dr Tiffany Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225404437 | NPI | - | NPPES |
32475764 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CCMH0203641 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tiffany Wynn, LPCC 300 Menaul Blvd Nw # 2360, Albuquerque, NM 87107-1322 Ph: (505) 670-7765 | Dr Tiffany Wynn, LPCC 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 Ph: (505) 490-3547 |
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