Provider Demographics
NPI:1831323864
Name:LINDSAY, TIFFANI (MA, MFT, LADC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANI
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MA, MFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 US HIGHWAY 395 N STE 101A
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4331
Mailing Address - Country:US
Mailing Address - Phone:866-331-4206
Mailing Address - Fax:775-783-4200
Practice Address - Street 1:1650 US HIGHWAY 395 N STE 101A
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4331
Practice Address - Country:US
Practice Address - Phone:866-331-4206
Practice Address - Fax:775-783-4200
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLADC# 01123-L101YA0400X
NVMFT# 01040106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)