Provider Demographics
NPI:1710455142
Name:FALLING FEATHERS LLC
Entity Type:Organization
Organization Name:FALLING FEATHERS LLC
Other - Org Name:TIFFANY PALAZZOLO
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAZZOLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:405-308-7444
Mailing Address - Street 1:112 N BROADWAY ST STE P
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-5127
Mailing Address - Country:US
Mailing Address - Phone:405-308-7444
Mailing Address - Fax:
Practice Address - Street 1:112 N BROADWAY ST STE P
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5127
Practice Address - Country:US
Practice Address - Phone:405-308-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-03
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty