Provider Demographics
NPI:1487527008
Name:HOZEY, TIFFANY NICHOLE (BS, CADC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:NICHOLE
Last Name:HOZEY
Suffix:
Gender:F
Credentials:BS, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-2719
Mailing Address - Country:US
Mailing Address - Phone:814-956-5179
Mailing Address - Fax:
Practice Address - Street 1:1218 PLEASANT VALLEY BLVD STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4762
Practice Address - Country:US
Practice Address - Phone:814-946-5179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)