Provider Demographics
NPI:1518763101
Name:CANALES, TIFFANY MILENA (LMSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MILENA
Last Name:CANALES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 WESTHEIMER PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1230
Mailing Address - Country:US
Mailing Address - Phone:281-840-7054
Mailing Address - Fax:
Practice Address - Street 1:7504 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5502
Practice Address - Country:US
Practice Address - Phone:832-658-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109810104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker