Provider Demographics
NPI:1346450426
Name:STOKES, TIFFANY TINETTE (BS)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:TINETTE
Last Name:STOKES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 MCINNIS LOOP APT 93
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-3408
Mailing Address - Country:US
Mailing Address - Phone:601-818-3093
Mailing Address - Fax:
Practice Address - Street 1:2020 HARDY ST STE A2
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-4941
Practice Address - Country:US
Practice Address - Phone:601-544-8556
Practice Address - Fax:601-544-8867
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor