Provider Demographics
NPI:1750012605
Name:TIGRESS AND CO A BOUTIQUE OF THERAPEUTIC
Entity Type:Organization
Organization Name:TIGRESS AND CO A BOUTIQUE OF THERAPEUTIC
Other - Org Name:CONNECTION COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-613-7122
Mailing Address - Street 1:225 FRANKLIN RD UNIT 3407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2754
Mailing Address - Country:US
Mailing Address - Phone:916-613-7122
Mailing Address - Fax:
Practice Address - Street 1:225 FRANKLIN RD UNIT 3407
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2754
Practice Address - Country:US
Practice Address - Phone:916-613-7122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty