Provider Demographics
NPI:1669295416
Name:LOVETT NASSO'ARJONA, TIFFANY (MS, LPC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:LOVETT NASSO'ARJONA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19811 POWERSCOURT DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2014
Mailing Address - Country:US
Mailing Address - Phone:254-449-3629
Mailing Address - Fax:
Practice Address - Street 1:10707 CORPORATE DR STE 100G
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4001
Practice Address - Country:US
Practice Address - Phone:346-639-8632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional