Provider Demographics
NPI:1346122454
Name:FORBES, TIFFANY LATOYA
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LATOYA
Last Name:FORBES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BOYDTON PLANK RD APT 2L
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-8958
Mailing Address - Country:US
Mailing Address - Phone:804-895-9895
Mailing Address - Fax:
Practice Address - Street 1:1800 BOYDTON PLANK RD APT 2L
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-8958
Practice Address - Country:US
Practice Address - Phone:804-895-9895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide