| Tiffani Taft Marriage And Family Therapy Professional Corporation | |
|
27412 Enterprise Cir W Ste 205 Temecula CA 92590-4875 | |
| (951) 972-6262 | |
| Not Available |
| Full Name | Tiffani Taft Marriage And Family Therapy Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 27412 Enterprise Cir W Ste 205, Temecula, 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 27412 Enterprise Cir W Ste 205 Temecula CA 92590-4875 Ph: (951) 972-6262 |
| NPI Number | 1992329528 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| 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 |
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