TIFFANY RENEE CHENERY
Counselor (Professional)

Address: 8215 Buist Ave, Philadelphia, PA 19153-1002

TIFFANY RENEE CHENERY (NPI# 1649865304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649865304
Entity Type Individual
Full Name TIFFANY RENEE CHENERY
Gender Female
Credential LPC
Practice Address 8215 Buist Ave
Philadelphia
PA 19153-1002
Practice Telephone 9072299733
Mailing Address 8215 Buist Ave
Philadelphia
PA 19153-1002
Mailing Telephone 9072299733
Certification Date 2021-03-04
Enumeration Date 2021-03-04
Last Update Date 2021-03-04
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC110566 PA Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
8215 Buist Ave, Philadelphia, PA 191531002 9072299733

Office Location

Street Address 8215 BUIST AVE
City PHILADELPHIA
State PA
Zip Code 19153-1002

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City PHILADELPHIA
Zip Code 19153

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.