Individual
TEKIRA TASHONDA TIFFANY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LAFAYETTE ST STE 140B, GRETNA, LA 70053-5762
(504) 533-9152
(504) 533-9154
Mailing address
230 E MAIN ST # 1264, GRAMERCY, LA 70052-3177
(225) 623-9887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLPC10495
LA
101YP2500X
Professional Counselor
PLPC10495
LA
171M00000X
Case Manager/Care Coordinator
PLPC10495
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PLPC10495
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
LA
05
—
101YP2500X
—
LA
05
—
171M00000X
—
LA
05
—
261QM0801X
—
LA
Enumeration date
02/02/2017
Last updated
09/07/2025
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