Provider Demographics
NPI:1811067861
Name:TOFANY, MICHELE CECILIA (EDD MFT)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:CECILIA
Last Name:TOFANY
Suffix:
Gender:F
Credentials:EDD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6980 FARM RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-0108
Mailing Address - Country:US
Mailing Address - Phone:702-878-0906
Mailing Address - Fax:702-396-3556
Practice Address - Street 1:2660 CRIMSON CANYON DR. #150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0846
Practice Address - Country:US
Practice Address - Phone:702-436-9997
Practice Address - Fax:702-254-9991
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0981106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist