Provider Demographics
NPI:1477315141
Name:HORNAK, TIFFANY (MA, NCC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:HORNAK
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 KIFER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PENN
Mailing Address - State:PA
Mailing Address - Zip Code:15675-1005
Mailing Address - Country:US
Mailing Address - Phone:724-944-5911
Mailing Address - Fax:
Practice Address - Street 1:1215 N GREENGATE RD
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-944-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor