Provider Demographics
NPI:1598302697
Name:KARA TIFFANY-ROBERTS, MA, MFT INDIVIDUAL, COUPLES, AND FAMILY THERAPY
Entity Type:Organization
Organization Name:KARA TIFFANY-ROBERTS, MA, MFT INDIVIDUAL, COUPLES, AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIFFANY-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT, LAADC
Authorized Official - Phone:951-795-5828
Mailing Address - Street 1:32605 TEMECULA PKWY STE 207
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6839
Mailing Address - Country:US
Mailing Address - Phone:951-795-5828
Mailing Address - Fax:
Practice Address - Street 1:32605 TEMECULA PKWY STE 207
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6839
Practice Address - Country:US
Practice Address - Phone:951-795-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-08
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty