| Tiffani Taft Marriage And Family Therapy Professional Corporation | |
|
27640 Encanto Dr Ste B Menifee CA 92586-4542 | |
| (951) 972-6262 | |
| (951) 462-4018 |
| Full Name | Tiffani Taft Marriage And Family Therapy Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 27640 Encanto Dr Ste B, Menifee, California |
| Authorized Official Name and Position | Tiffani Taft (OWNER) |
| Authorized Official Contact | 9512406778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffani Taft Marriage And Family Therapy Professional Corporation 27412 Enterprise Cir W Ste 205 Temecula CA 92590-4875 Ph: (951) 972-6262 | Tiffani Taft Marriage And Family Therapy Professional Corporation 27640 Encanto Dr Ste B Menifee CA 92586-4542 Ph: (951) 972-6262 |
| NPI Number | 1992329528 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/03/2025 |
| Medicare PECOS PAC ID | 3779909767 |
|---|---|
| Medicare Enrollment ID | O20200820003915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992329528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Rebecca Cravens Saville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053829283 PECOS PAC ID: 9830520683 Enrollment ID: I20200511001787 |
| Provider Name | Shante Olivia Ogden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831631639 PECOS PAC ID: 6002225182 Enrollment ID: I20210430000736 |
| Provider Name | Jehrel Andre Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366893935 PECOS PAC ID: 1951780972 Enrollment ID: I20220622002369 |
| Provider Name | Jennifer Kay Gayman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730486903 PECOS PAC ID: 5991174195 Enrollment ID: I20221209002567 |
| Provider Name | Rosanna Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669874202 PECOS PAC ID: 0547613853 Enrollment ID: I20240201003693 |
| Provider Name | Rebecca Anne Gehlke Nolan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972519650 PECOS PAC ID: 4284074980 Enrollment ID: I20240429001612 |
| Provider Name | Tiffani Ann Taft |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396083440 PECOS PAC ID: 6406272491 Enrollment ID: I20240506001734 |
| Provider Name | Jessica Garcia Nava |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194371716 PECOS PAC ID: 7517406135 Enrollment ID: I20240827004762 |
| Provider Name | Teri Acosta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528786993 PECOS PAC ID: 7517499353 Enrollment ID: I20241017001218 |
| Provider Name | Shanae Kathryn Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356008379 PECOS PAC ID: 7113451741 Enrollment ID: I20241105002545 |
| Provider Name | Heidi Gergurich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093447864 PECOS PAC ID: 6103350632 Enrollment ID: I20241106003272 |
| Provider Name | Michelle Mckay |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740540137 PECOS PAC ID: 7416483680 Enrollment ID: I20241211001820 |
| Provider Name | Lindsey Jeanne Norman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811709108 PECOS PAC ID: 8527588318 Enrollment ID: I20250224002619 |
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