Provider Demographics
NPI:1609230986
Name:MOSBY, TIFFANY LOUISE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:LOUISE
Last Name:MOSBY
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2137 ARROWGRASS DR UNIT 105
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4707
Mailing Address - Country:US
Mailing Address - Phone:314-817-8353
Mailing Address - Fax:
Practice Address - Street 1:1 ALHAMBRA PLZ STE PH
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5227
Practice Address - Country:US
Practice Address - Phone:314-817-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4391106H00000X
MO2016006062106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist