Individual
TIFFANY V MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
8790 F ST STE 125, OMAHA, NE 68127-1529
(402) 637-6778
Mailing address
8790 F ST STE 125, OMAHA, NE 68127-1529
(402) 215-4913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1706
NE
1041C0700X
Clinical Social Worker
Primary
1687
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480123
—
NE
05
—
1902338452
—
IA
Enumeration date
04/03/2017
Last updated
07/16/2025
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