Provider Demographics
NPI:1184887127
Name:BAHTI, TANI (RN, CT, CHPN)
Entity type:Individual
Prefix:
First Name:TANI
Middle Name:
Last Name:BAHTI
Suffix:
Gender:F
Credentials:RN, CT, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9124 N JESSY LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8639
Mailing Address - Country:US
Mailing Address - Phone:520-400-0274
Mailing Address - Fax:
Practice Address - Street 1:9124 N JESSY LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-8639
Practice Address - Country:US
Practice Address - Phone:520-400-0274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN033455101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor