Provider Demographics
NPI:1992329528
Name:TIFFANI TAFT MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:TIFFANI TAFT MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-240-6778
Mailing Address - Street 1:27412 ENTERPRISE CIR W STE 205
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4875
Mailing Address - Country:US
Mailing Address - Phone:951-972-6262
Mailing Address - Fax:
Practice Address - Street 1:27640 ENCANTO DR STE B
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-4542
Practice Address - Country:US
Practice Address - Phone:951-972-6262
Practice Address - Fax:951-462-4018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty