Provider Demographics
NPI:1699586339
Name:MAJETTE, TIFFANY TENELL (LGMFT)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:TENELL
Last Name:MAJETTE
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16054 ENGLISH OAKS AVE APT F
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3354
Mailing Address - Country:US
Mailing Address - Phone:240-355-2433
Mailing Address - Fax:
Practice Address - Street 1:16054 ENGLISH OAKS AVE APT F
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3354
Practice Address - Country:US
Practice Address - Phone:240-355-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM1069106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist