Provider Demographics
NPI:1922693928
Name:RAMBANA, THIFFANY L (LMHC)
Entity Type:Individual
Prefix:
First Name:THIFFANY
Middle Name:L
Last Name:RAMBANA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:THIFFANY
Other - Middle Name:
Other - Last Name:REYNOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 PAVIA DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8413
Mailing Address - Country:US
Mailing Address - Phone:954-881-5085
Mailing Address - Fax:
Practice Address - Street 1:1105 PAVIA DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8413
Practice Address - Country:US
Practice Address - Phone:954-881-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health