Individual
TIFFANY COSTON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 MANHATTAN BLVD, SUITE 308, HARVEY, LA 70058-5328
(504) 366-5265
(504) 366-5260
Mailing address
2439 MANHATTAN BLVD, SUITE 308, HARVEY, LA 70058-5328
(504) 366-5265
(504) 366-5260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
10/27/2016
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