Individual
MS. TIFFANI SHIANNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(402) 989-1113
Mailing address
7766 N 87TH ST, OMAHA, NE 68122-5267
(402) 708-5301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NE
Enumeration date
08/04/2022
Last updated
06/25/2025
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