Individual
TIFFANY CONWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT 5488
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
(318) 345-7123
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
(318) 345-7123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/31/2023
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